Individual
ATCHUTHA GEETHA CHAN CHILAKAMARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4920
(240) 566-3031
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812
(240) 439-8910
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D69568
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD037199
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418857801
—
MD
Enumeration date
04/19/2007
Last updated
01/17/2023
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