Organization
VIJAY CHAKU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY CHAKU MD (OWNER)
(989) 791-2512
Entity
Organization
Contact information
Practice address
3085 HALLMARK CT, SAGINAW, MI 48603-6803
(989) 791-2512
Mailing address
3085 HALLMARK CT, SAGINAW, MI 48603-6803
(989) 791-2512
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
VC046248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2725830
—
MI
Enumeration date
06/02/2006
Last updated
09/28/2007
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