Individual
DR. BINU T CHACKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
291 STONER AVE, SUITE 203, WESTMINSTER, MD 21157-5647
(410) 848-2449
(410) 848-2798
Mailing address
291 STONER AVE, SUITE 203, WESTMINSTER, MD 21157-5647
(410) 848-2449
(410) 848-2798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D52035
MD
Other
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
Enumeration date
09/07/2005
Last updated
07/09/2007
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