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Leela A Chacko Md Llc
Medical Specialty Clinic/Center in Takoma Park, Maryland
NPI 1790192656

Leela A Chacko Md Llc is a Medical Specialty Clinic/Center based in Takoma Park, MD and is specialized in Medical Specialty. Leela A Chacko Md Llc practices in Takoma Park, MD. The NPI Number for Leela A Chacko Md Llc is 1790192656 and holds a License No. D0038488 (Maryland).

The current practice location address for Leela A Chacko Md Llc is 7610 Carroll Ave, Takoma Park, MD and can be reached out via phone at 301-270-5522 and via fax at 301-270-4837.

Location: 7610 Carroll Ave, Takoma Park, MD, 20912-6384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790192656
Provider Name
Leela A Chacko Md Llc
Credential
Provider Entity Type
Organization
Address
7610 Carroll Ave, Takoma Park, MD, 20912-6384
Phone Number
301-270-5522
Fax Number
301-270-4837
Provider Enumeration Date
07/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7610 Carroll Ave
City
Takoma Park
State
Maryland
Zip
20912-6384
Phone Number
301-270-5522
Fax Number
301-270-4837
person
Provider Business Mailing Address Details
Address
7610 Carroll Ave
City
Takoma Park
State
Maryland
Zip
20912-6384
Phone Number
301-270-5522
Fax Number
301-270-4837
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
D0038488 (Maryland)
Definition
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).
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