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Contact Information

ACHANKUNJU A CHACKO MD LLC
7610 CARROLL AVE
SUITE 390
TAKOMA PARK, MD20912-6384
 Phone: 301-270-5522
 Fax: 301-270-4837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for ACHANKUNJU A CHACKO MD LLC

NPI Number 1801189055
LBN Legal business name ACHANKUNJU A CHACKO MD LLC
Authorized official ACHANKUNJU CHACKO - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2011
Last updated 05/20/2011 - About 15 years ago
Identifiers
MD License # D20129
MD Medicaid 7959214000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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