REBECCA GLORIA CHACKO (NPI# 1972952323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972952323 |
| Entity Type | Individual |
| Full Name | REBECCA GLORIA CHACKO |
| Credential | M.D. |
| Practice Address |
3535 W 13 Mile Rd Ste Ll Royal Oak MI 48073-6770 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 2485513000 |
| Practice Fax Number | 2485512032 |
| Mailing Telephone | 9475221861 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301109882 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 W 13 Mile Rd, Royal Oak, MI 480736712 | 2485513000 |
| Street Address |
3535 W 13 MILE RD STE LL |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417916818 | Kalli Jo Doyle | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2006-03-23 |
| 1770013070 | Marina Maraskine | Internal Medicine | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2017-06-19 |
| 1811381825 | Sandal Saleem I | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2015-03-27 |
| 1205009974 | Aimee Marie Pollak | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2008-04-02 |
| 1578778775 | Paul Chittick | Internal Medicine | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2007-05-11 |
| 1568473981 | Stacey Ann Shubeck | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2006-08-10 |
| 1497716229 | Mary Smyth | Pediatrics | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2006-03-31 |
| 1093776726 | Sandor Shoichet | Internal Medicine | 3535 W 13 Mile Rd Ste Ll, Royal Oak, MI 48073-6770 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1114583523 | Justin Armstrong | Internal Medicine | 3601 W 13 Mile Rd # Mi, Royal Oak, MI 48073-6712 | 2019-05-13 |
| 1780183186 | Md Regeneration, Pllc | Internal Medicine | 333 W 7th St Ste 100, Royal Oak, MI 48067-2510 | 2018-02-12 |
| 1356862536 | Ashley Lane Richardson | Internal Medicine | 1816 Dallas Ave, Royal Oak, MI 48067-3575 | 2017-06-28 |
| 1194179911 | Narayana Rao Gandham | Internal Medicine | 3535 W 13 Mile Rd Ste 502, Royal Oak, MI 48073-6770 | 2016-04-18 |
| 1669741575 | Benjamin Mishra | Internal Medicine | 1719 Gardenia Ave Apt 305, Royal Oak, MI 48067-2137 | 2011-12-21 |
| 1295046613 | Matthew Lawrence Ott | Internal Medicine | 3123 Coolidge Hwy, Apt. #132, Royal Oak, MI 48073-6852 | 2010-06-30 |
| 1518285451 | Jamal Abu-khaled | Internal Medicine | 3535 W 13 Mile Rd Ste 247, Royal Oak, MI 48073-6770 | 2010-05-16 |
| Find all providers in ROYAL OAK | ||||
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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.