Individual
DR. MANGARAJU CHAKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Mailing address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E4358
AR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
E4358
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157168001
—
AR
01
—
919591
MALP INS #
AR
Enumeration date
06/20/2006
Last updated
01/04/2011
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