Achankunju A Chacko Md Llc

LBN: Achankunju A Chacko Md Llc
Achankunju A Chacko Md Llc is an health care organization with primary practice located at 7610 Carroll Ave Suite 390, Takoma Park MD 20912-6384. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Achankunju A Chacko Md Llc can be contacted via phone (301) 270-5522, or through Chacko, Achankunju A via phone (301) 270-5522.

Contact Information

Primary practice address
7610 Carroll Ave Suite 390 Takoma Park MD 20912-6384
Phone: (301) 270-5522
Fax: (301) 270-4837
Website:
Map and Directions
Authorized official contact:
Name: Chacko, Achankunju A Doctor of Medicine (MD)
Phone: (301) 270-5522

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X D20129 Maryland

Profile Details

NPI number 1801189055
LBN Legal business name Achankunju A Chacko Md Llc
DBA Doing business as
Authorized official Chacko, Achankunju A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2011
Last updated May 20th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801189055 NPPES
Maryland MEDICAID 7959214000

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