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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