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Achankunju A Chacko Md Llc
Clinic/Center in Takoma Park, Maryland
NPI 1801189055

Achankunju A Chacko Md Llc is a Clinic/Center based in Takoma Park, MD. Achankunju A Chacko Md Llc practices in Takoma Park, MD. The NPI Number for Achankunju A Chacko Md Llc is 1801189055 and holds a License No. D20129 (Maryland).

The current practice location address for Achankunju 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
1801189055
Provider Name
Achankunju 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
05/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7959214000 05 MD
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
-
Taxonomy
261Q00000X
License No.
D20129 (Maryland)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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