ATCHUTHA GEETHA CHAN CHILAKAMARRI (NPI# 1750508958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750508958 |
| Entity Type | Individual |
| Full Name | ATCHUTHA GEETHA CHAN CHILAKAMARRI |
| Credential | MD |
| Practice Address |
1562 Opossumtown Pike Frederick MD 21702-4920 |
| Mailing Address |
Po Box 37086 Baltimore MD 21297-3086 |
| Practice Telephone | 2405663031 |
| Mailing Telephone | 2404398812 |
| Mailing Fax Number | 2404398910 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
D69568 | MD | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD037199 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 418857801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10110 Molecular Drive, Suite 206, Rockville, MD 20850 | 3012792779 | 3012792767 |
| 1183 Luther Dr, Hagerstown, MD 217407407 | 3017903001 |
| Street Address |
1562 OPOSSUMTOWN PIKE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1659899979 | Frederick Health Medical Group LLC | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2017-09-07 |
| 1548641483 | Jeanette M Brennan | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-06-16 |
| 1497142913 | Catherine Anne Bender | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-04-22 |
| 1134537467 | Leslie Crawford | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-30 |
| 1730597519 | Amanda K. Dean | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-24 |
| 1013336114 | Ingrid Halvorson | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702 | 2014-04-16 |
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1891134466 | Natalia Marina | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376735100 | Edger V Potter Jr Md Inc | Family Medicine | 12017 Fort Washington Rd, Fort Washington, MD 20744-6004 | 2007-08-15 |
| 1750595401 | Ted Eric Howe | Family Medicine | 18100 Slade School Rd, Sandy Spring, MD 20860-1313 | 2007-05-10 |
| 1265594493 | Andres Salazar | Family Medicine | 3621 Ligon Rd, Ellicott City, MD 21042-5238 | 2006-12-14 |
| 1497841563 | Farzana Ajmal | Family Medicine | 19731 Executive Park Cir, Germantown, MD 20874-2642 | 2006-10-05 |
| 1942391693 | Paul A. Devore Md PC | Family Medicine | 4203 Queensbury Rd, Hyattsville, MD 20781-1435 | 2006-09-27 |
| 1063445013 | Lifestyle Medical Center, Cheryl Brown-christopher M. D., Chartered | Family Medicine | 116 Defense Hwy Ste 200, Annapolis, MD 21401-7045 | 2006-07-09 |
| 1932135548 | Nagji J Sureja | Family Medicine | 4212 Ridge Rd, Westminster, MD 21157-7849 | 2006-06-24 |
| 1689612236 | Raman Tuli, Md, P.C. | Family Medicine | 10810 Darnestown Rd, Suite 202, Gaithersburg, MD 20878-2675 | 2006-06-04 |
| 1851346423 | Arvind D Desai | Family Medicine | 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 | 2006-05-23 |
| 1134102775 | Cyrus Hamidi | Family Medicine | 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9451 | 2005-11-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.