Chakudaku, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CHAKUDAKU, INC.

Practice address

1401 Rosa Parks Blvd
Detroit, MI 48216-1953

Phone

(313) 309-9900

Fax

(248) 232-1517

NPI assigned

Dec 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mohammed A Khan, MBA

Title

President/Ceo

Phone

(248) 787-6699

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292025600000",
    "number": "1245533371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD STE 502",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755408",
            "telephone_number": "248-787-6699",
            "fax_number": "248-232-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROSA PARKS BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482161953",
            "telephone_number": "313-309-9900",
            "fax_number": "248-232-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAKUDAKU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-787-6699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashoak Chakaravarthy, M.D.
• Anisse Nassime Chaker, MD
• Bayan Chaker, MD
• Mahmoud Chaker, MD
• Eyas Chakfeh, M.D
• Jennifer Nakka Chalam, M.D.
• Vidya D Chalasani, MD
• Sabine Chalhoub, MD
• Imdevi Chalpe
• Lori Chalut

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.