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LEELA A CHACKO MD LLC NPI 1790192656


NPI Information

NPI: 1790192656
Provider Name: LEELA A CHACKO MD LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
7610 CARROLL AVE
SUITE 390
TAKOMA PARK, MD
ZIP 20912
Phone: (301) 270-5522
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LEELA A CHACKO MD LLC is a medical specialty clinic center in Takoma Park, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LEELA A CHACKO MD LLC NPI is 1790192656. The provider is registered as an organization entity type.

The provider's business location address is:

7610 CARROLL AVE
SUITE 390
TAKOMA PARK, MD
ZIP 20912-384
Phone: (301) 270-5522
Fax: (301) 270-4837

The provider's authorized official is Leela A Chacko .
The authorized official title is Md and has the following contact phone number (301) 270-5522.

The enumeration date for this NPI number is 7/12/2014 and was last updated on 7/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyD0038488MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1492274MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.