Chakka, Mangaraju

Chakka, Mangaraju is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Chakka, Mangaraju can be contacted via phone (501) 255-6000.

Contact Information

Primary practice address
10100 Kanis Rd Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E4358 Arkansas
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X E4358 Arkansas

Profile Details

NPI number 1104862200
LBN Legal business name Chakka, Mangaraju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104862200 NPPES
Arkansas Other 919591 MALP INS #
Arkansas MEDICAID 157168001 MALP INS #

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