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Individual
CHACKMUKAL V CYRIAC
Active
Individual
CHACKMUKAL V CYRIAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D21684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03152154647401
UNITED HEALTHCARE
—
01
—
110203468
RAILROAD MEDICARE
—
01
—
30837006
BLUESHIELD OF MARYLAND
MD
05
—
775611900
—
MD
Enumeration date
08/05/2006
Last updated
07/08/2007
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