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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACHANKUNJU A CHACKO, MD

Active Sole Proprietor

ACHANKUNJU A CHACKO, MD is a Adolescent Medicine healthcare provider located in TAKOMA PARK, Maryland. NPI 1508878414 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · TAKOMA PARK, MD

Registration Details

NPI Number
1508878414
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2006 (20.023446943102 yrs)
Last Updated
Jul 8, 2007
License
D20129 (MD)
Sole Proprietor
Yes

Practice Information

Address
7610 CARROLL AVE
SUITE # 390
TAKOMA PARK, MD, 209126384
Browse MD providers · Browse ZIP 20912
Phone
3012705522
Fax
3012704837
Primary Specialty
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.