Individual
DR. BINU T CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
07/13/2026
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