ACHANKUNJU A CHACKO MD LLC – NPI #1801189055
Clinic/Center

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).

ACHANKUNJU A CHACKO MD LLC is an AHC clinic located in TAKOMA PARK, MD. NPPES has assigned the NPI number 1801189055 to ACHANKUNJU A CHACKO MD LLC on May 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACHANKUNJU A CHACKO MD LLC below.

NPI Profile for
ACHANKUNJU A CHACKO MD LLC

NPI Number
1801189055
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACHANKUNJU A CHACKO MD LLC
Primary location
7610 CARROLL AVE
SUITE 390
TAKOMA PARK, MD 20912-6384
Phone: (301) 270-5522 Fax: (301) 270-4837
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ACHANKUNJU CHACKO
MD
Phone: (301) 270-5522
Updated
Identifiers

Identifiers for ACHANKUNJU A CHACKO MD LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD7959214000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
MD D20129

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.