CHACKMUKAL V CYRIAC (NPI# 1033128574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033128574 |
| Entity Type | Individual |
| Full Name | CHACKMUKAL V CYRIAC |
| Credential | M.D. |
| Practice Address |
8021 Ritchie Hwy Pasadena MD 21122-1016 |
| Practice Telephone | 4107618200 |
| Practice Fax Number | 4107611331 |
| Mailing Telephone | 4107618200 |
| Mailing Fax Number | 4107611331 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | D21684 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 775611900 | 05 | |
| UNITED HEALTHCARE | 03152154647401 | 01 | |
| RAILROAD MEDICARE | 110203468 | 01 | |
| MD | BLUESHIELD OF MARYLAND | 30837006 | 01 |
| Street Address |
8021 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680873 | Amy Foehrkolb, Lcpc LLC | Nurse Practitioner | 8021 Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-05-09 |
| 1073729117 | Joseph Fiore Dc Pa | Chiropractor | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2007-05-15 |
| 1295744712 | Surya P Mundra | Internal Medicine | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2006-08-05 |
| 1134138688 | Cyriac and Mundra, Md, Pa | Internal Medicine | 8021 Ritchie Hwy, Pasadena, MD 21122-1016 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1255957205 | Direct Urgent Care Inc | Internal Medicine | 600 E Colorado Blvd # 120, Pasadena, CA 91101-2006 | 2020-06-24 |
| 1154988111 | Liviu Chindris Md, Inc. | Internal Medicine | 257 S De Lacey Ave Unit 4129, Pasadena, CA 91105-4504 | 2019-05-24 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1568812196 | George Kevork Abrahamian | Internal Medicine | 960 E Green St Ste 106, Pasadena, CA 91106-2401 | 2016-06-14 |
| 1366800823 | Henry P Sideropoulos Md Inc | Internal Medicine | 1771 E Orange Grove Blvd, Pasadena, CA 91104-0000 | 2016-01-29 |
| 1730571555 | Cheryl Lynne Reid | Internal Medicine | 482 S Madison Ave, Unit 3, Pasadena, CA 91101-3300 | 2015-03-03 |
| 1114319910 | Ramon A. Pineda Md Pa | Internal Medicine | 2418 Southmore Ave, Pasadena, TX 77502-1421 | 2015-03-03 |
| 1477968733 | Amy Savagian Md, Medical Corporation | Internal Medicine | 800 Fairmount Blvd, 210, Pasadena, CA 91105 | 2014-06-25 |
| 1124439617 | Eva Poon | Internal Medicine | 675 S Arroyo Pkwy Ste 110, Pasadena, CA 91105-3248 | 2014-05-19 |
| 1679903306 | Eileen Laverne Carter | Internal Medicine | 1509 Chelten Way South, Pasadena, CA 91030-3915 | 2013-11-15 |
| Find all providers in PASADENA | ||||
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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.