Individual
DONNA CLARE CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1660 COLUMBIA ROAD NW, WASHINGTON, DC 20009-3697
(202) 328-3717
(202) 588-8101
Mailing address
1660 COLUMBIA ROAD NW, WASHINGTON, DC 20009-3697
(202) 328-3717
(202) 588-8101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34313
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22524700
—
DC
Enumeration date
03/20/2007
Last updated
06/29/2012
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