Healthcare Provider Details

I. General information

NPI: 1871727396
Provider Name (Legal Business Name): KAREN AMA-SERWA CHACHU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 POTOMAC PSGE STE 250
OXON HILL MD
20745-1580
US

IV. Provider business mailing address

10770 COLUMBIA PIKE STE 400
SILVER SPRING MD
20901-4462
US

V. Phone/Fax

Practice location:
  • Phone: 240-737-0085
  • Fax: 202-296-0301
Mailing address:
  • Phone: 240-737-0085
  • Fax: 202-296-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT194931
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD600004807
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number2015-01167
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0105263
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: