Organization
ACHANKUNJU A CHACKO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ACHANKUNJU A CHACKO MD (MD)
(301) 270-5522
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE, SUITE 390, TAKOMA PARK, MD 20912-6384
(301) 270-5522
(301) 270-4837
Mailing address
7610 CARROLL AVE, SUITE 390, TAKOMA PARK, MD 20912-6384
(301) 270-5522
(301) 270-4837
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D20129
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7959214000
—
MD
Enumeration date
05/20/2011
Last updated
05/20/2011
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