# DR. BINU T CHACKO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598759557
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D52035 | MD | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 522117444 21157 A001 | TRICARE | MD |
| 01 | — | 54815704 | BCBS RENDERING | MD |
| 01 | — | 625098 | UNITED HEALTHCARE | MD |
| 01 | — | 801369 | JOHNS HOPKINS HEALTHCARE | MD |
| 01 | — | 86197 | MAMSI | MD |
| 01 | — | KH04CA | BCBS OF MARYLAND | MD |