CHAKUDAKU, INC. (NPI# 1245533371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245533371 |
| Entity Type | Organization |
| Organization Name | CHAKUDAKU, INC. |
| Practice Address |
1401 Rosa Parks Blvd Detroit MI 48216-1953 |
| Mailing Address |
20755 Greenfield Rd Ste 502 Southfield MI 48075-5408 |
| Practice Telephone | 3133099900 |
| Practice Fax Number | 2482321517 |
| Mailing Telephone | 2487876699 |
| Mailing Fax Number | 2482321517 |
| Enumeration Date | 2010-12-11 |
| Last Update Date | 2010-12-11 |
| Authorized Official Name | MR. MOHAMMED A KHAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 2487876699 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
1401 ROSA PARKS BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48216-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287912 | Karah Jeannine Adams | Social Worker | 1600 Porter Street, Detroit, MI 48216 | 2019-07-22 |
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1083004147 | Dan Webster Christian Wood | Social Worker | 1600 Porter St., Detroit, MI 48216 | 2015-01-28 |
| 1497010938 | Turner's Diagnostics | Clinic/Center | 727 West Grand Boulevard #315, Detroit, MI 48216 | 2012-07-11 |
| 1215177019 | Detroit Medical Centre | General Acute Care Hospital | 5000 Heather Drive, Dearborn, MI 48216 | 2009-03-06 |
| 1619164324 | Celso Enterprise Inc | Clinic/Center | 3968 E Vernor Hwy, Detroit, MI 48216 | 2007-09-26 |
| 1376706069 | Sandra Overstreet-ware | Social Worker | 3815 W Fort St, Detroit, MI 48216 | 2008-07-03 |
| 1013156660 | Carmetta Sharlena Jones | Home Health | 790 W Grand Blvd, Detroit, MI 48216-1003 | 2009-02-05 |
| 1982085429 | Gayle England | Custodial Care Facility | 777 W Grand Blvd, Detroit, MI 48216-1056 | 2015-06-10 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
| Find all providers in zip 48216 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1770816498 | Advanced Dialysis of Greater Detroit LLC | Clinic/Center | 18600 James Couzens Hwy, Detroit, MI 48235-2509 | 2009-09-14 |
| 1528294691 | Nephrology Center of Detroit LLC | Clinic/Center | 20001 Livernois Ave Ste 500, Detroit, MI 48221-4123 | 2009-06-03 |
| 1730227646 | Grosse Pointe Dialysis LLC | Clinic/Center | 18000 E Warren Ave, Ste 100, Detroit, MI 48224-1336 | 2007-02-02 |
| 1730286014 | Optimal Care Dialysis | Clinic/Center | 18600 James Couzens Fwy, Detroit, MI 48235-2509 | 2006-09-20 |
| 1538265335 | Afton Nephrology Associates | Clinic/Center | 19800 Woodward Ave, Detroit, MI 48203-5102 | 2006-09-16 |
| 1871608612 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18430 Livernois Ave, Detroit, MI 48221-3295 | 2006-08-20 |
| 1093820839 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18944 Grand River Ave, Detroit, MI 48223-2270 | 2006-08-20 |
| 1043325889 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 7733 E Jefferson Ave Ste 120, Detroit, MI 48214-3707 | 2006-08-20 |
| Find all providers in DETROIT | ||||
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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.