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Organization
FAMILY MEDICAL OFFICES OF DR. CHENCHUGALLA, M.D., PC
Active
Organization
FAMILY MEDICAL OFFICES OF DR. CHENCHUGALLA, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHAR KUMAR CHENCHUGALLA M.D. (PRESIDENT)
(301) 445-1452
Entity
Organization
Contact information
Practice address
7411 RIGGS RD, SUITE 304, ADELPHI, MD 20783-4246
(301) 445-1452
(301) 560-0841
Mailing address
7411 RIGGS RD, SUITE 304, ADELPHI, MD 20783-4246
(301) 445-1452
(301) 560-0841
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
0101242881
VA
261QP2300X
Primary Care Clinic/Center
Primary
D67876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022479100
—
MD
05
—
1508982273
—
VA
05
—
3810011459
—
WV
Enumeration date
09/24/2008
Last updated
02/09/2011
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