Mangaraju Chakka in Little Rock - Clinical Cardiac Electrophysiology

Mangaraju Chakka - NPI 1104862200

Mangaraju Chakka is a Clinical Cardiac Electrophysiology in Little Rock, Arkansas. Mangaraju Chakka practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for Mangaraju Chakka is 1104862200. The last update date is 2011-01-04.

Mangaraju Chakka's current location address is 10100 Kanis Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012556000 and fax number 5012556400. The mailing address for Mangaraju Chakka is 10100 Kanis Rd, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mangaraju Chakka
Address 10100 Kanis Rd, Little Rock, Arkansas
Phone Number 5012556000
Fax Number 5012556400
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104862200
Provider Enumeration Date 2006-06-20
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 10100 Kanis Rd
City Little Rock
State Arkansas (AR)
Post Code 722056202
Phone Number 5012556000
Fax Number 5012556400

Provider's Primary Taxonomy Detail

Speciality Clinical Cardiac Electrophysiology
Taxonomy 207Rc0001X
Licence No E4358
Definition:
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
919591 AR MALP INS #
157168001 AR --

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FAQs about Mangaraju Chakka

What is the unique 10-digit identification code assigned to Mangaraju Chakka by the Centers for Medicare & Medicaid Services?

The Mangaraju Chakka has been issued the NPI (National Provider Identifier) 1104862200, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mangaraju Chakka's physical address?

The Mangaraju Chakka is physically located at 10100 Kanis Rd, in the city of Little Rock, AR, with the postal code 722056202.

What is the Mangaraju Chakka's area of specialization and corresponding taxonomy classification?

The Mangaraju Chakka's specialty field is Clinical Cardiac Electrophysiology, and it falls under the taxonomy code 207Rc0001X, which categorizes healthcare providers based on their specialties.

On what date did the Mangaraju Chakka receive the assignment of its 1104862200 from the Centers for Medicare & Medicaid Services?

The Mangaraju Chakka was issued its 1104862200 by the Centers for Medicare & Medicaid Services on 2006-06-20.

When was the information regarding Mangaraju Chakka most recently updated?

The details pertaining to the Mangaraju Chakka, including its address, specialty, and other relevant information, were last refreshed on 2011-01-04.

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