Individual
MRS. LEELA ANDUMALY CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 IRVING ST NW, VA MEDICAL CENTER, WASHINGTON, DC 20422-0001
(202) 745-8311
(202) 518-4695
Mailing address
7610 CARROLL AVE 390, TAKOMA PARK, MD 20912-6323
(301) 270-5522
(301) 270-4837
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12638
DC
Other
Enumeration date
07/19/2006
Last updated
10/12/2015
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