LEELA A CHACKO MD LLC (NPI# 1790192656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192656 |
| Entity Type | Organization |
| Organization Name | LEELA A CHACKO MD LLC |
| Practice Address |
7610 Carroll Ave Suite 390 Takoma Park MD 20912-6384 |
| Practice Telephone | 3012705522 |
| Practice Fax Number | 3012704837 |
| Mailing Telephone | 3012705522 |
| Mailing Fax Number | 3012704837 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |
| Authorized Official Name | LEELA A CHACKO (MD) |
| Authorized Official Telephone | 3012705522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
D0038488 | MD | Ambulatory Health Care Facilities |
| Street Address |
7610 CARROLL AVE SUITE 390 |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205398 | Smith S. Ho, Md, Pa | Internal Medicine | 7610 Carroll Ave, Ste 280, Takoma Park, MD 20912-6302 | 2005-06-14 |
| 1508409541 | Amanda Polhemus | Nurse Practitioner | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2019-10-22 |
| 1073055950 | Adventist Physician Services, Inc. | Clinic/Center | 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912-6384 | 2016-11-09 |
| 1104287036 | Chinatu P. Ego-osuala LLC | Dentist | 7610 Carroll Ave, 480, Takoma Park, MD 20912-6384 | 2016-03-20 |
| 1235504150 | Meaghan Butler | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-12-03 |
| 1386017119 | Lauren Schmittle | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-11-02 |
| 1659752467 | Marcellus R. Cephas Md LLC | Counselor | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6384 | 2015-06-17 |
| 1255730131 | Conni Nevills | Nurse Practitioner | 7610 Carroll Ave, Suite 400, Takoma Park, MD 20912-6384 | 2014-08-18 |
| 1659701027 | Paul R O'keeffe | Social Worker | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6312 | 2013-11-20 |
| 1407282866 | Vascular Centers of America LLC | Internal Medicine | 7610 Carroll Ave, Suite 100, Takoma Park, MD 20912-6384 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851747885 | Kempannasudhakar,md,pc | Clinic/Center | 7610 Carroll Ave Ste 230, Takoma Park, MD 20912-6312 | 2016-05-09 |
| 1154599967 | Fayaz A. Shawl, Md, Pa | Clinic/Center | 7620 Carroll Ave, Suite 200, Takoma Park, MD 20912-6387 | 2008-02-14 |
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| 1215576079 | Alexander Heilner | Clinic/Center | 614 Hollen Rd, Baltimore, MD 21212-2715 | 2019-12-27 |
| 1184288003 | Mjd Chiropractic LLC | Clinic/Center | 6666 Security Blvd Ste 4, Baltimore, MD 21207-4025 | 2019-04-25 |
| 1104383975 | Alpha Gi Care, PC | Clinic/Center | 7247 Hanover Pkwy Ste A, Greenbelt, MD 20770-3661 | 2019-02-27 |
| 1417430117 | Emily Clarke-pearson, Md, PC | Clinic/Center | 949 Fell St Ste B, Baltimore, MD 21231-3505 | 2018-09-10 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1063958213 | Medsultants | Clinic/Center | 10317 Kingsway Ct, Ellicott City, MD 21042-5802 | 2017-01-12 |
| 1124564703 | Fall Prevention and Stroke Rehab Physician, LLC | Clinic/Center | 2701 Jeremy Ct Apt E, Baltimore, MD 21209-3062 | 2017-01-06 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1831443787 | Wellspring Clinic LLC | Clinic/Center | 2012 S Tollgate Rd Ste 207, Bel Air, MD 21015-5902 | 2012-10-30 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
Please comment or provide details below to improve the information on LEELA A CHACKO MD LLC.
| 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.