# DR RITU CHITAKKI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447569579
- **Authorized official:** RITU CHITAKKI M.D. (PRIMARY CARE PHYSICIAN/OWNER)
- **Authorized official phone:** (301) 490-3088

## Contact information

- **Practice address:** 3450 LAUREL FORT MEADE RD, SUITE 207, LAUREL, MD 20724-2040
- **Practice address phone:** (301) 490-3088
- **Practice address fax:** (301) 490-2575
- **Mailing address:** 3450 LAUREL FORT MEADE RD, SUITE 207, LAUREL, MD 20724-2040
- **Mailing address phone:** (301) 490-3088
- **Mailing address fax:** (301) 490-2575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0051171 | MD | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 10/07/2010