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Physician Compare National (NPI:1609823798)

HEALTHCARE PROVIDER: RITU CHITAKKI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1609823798
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456413715
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101110000199
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHITAKKI
Individual professional last name
Provider First Name RITU
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3450 LAUREL FORT MEADE RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 207
Group Practice or individual's line 2 address
City LAUREL
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 207242040
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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