| Organization Name: | FAMILY MEDICAL OFFICES OF DR. CHENCHUGALLA, M.D., PC |
| NPI Number: | 1154571321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANOHAR KUMAR CHENCHUGALLA (PRESIDENT) |
| Mailing Address: | 7411 Riggs Rd Suite 304 Adelphi |
| State: | MD US |
| Postal Code: | 207834246 |
| Phone Number: | 3014451452 |
| Fax Number: | 3015600841 |
| NPI Enumeration Date: | 09/24/2008 |
| NPI Last Update Date: | 02/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0101242881 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |