Organization Active NPI

Vijay Chaku

  • Critical Care Medicine (Internal Medicine) Physician
  • Saginaw, MI
National Provider Identifier
1255378675
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
VC046248 Issued in MI
Legal business name
VIJAY CHAKU
Practice address
3085 Hallmark CT
Saginaw, MI 48603-6803
Phone
(989) 791-2512
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Vijay Chaku, MDNPI 1700823127
Title
Owner
Phone
(989) 791-2512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X VC046248 MI Primary

Addresses

Primary practice location

3085 Hallmark CT
Saginaw, MI 48603-6803

Mailing address

3085 Hallmark CT
Saginaw, MI 48603-6803
Phone (989) 791-2512

Other identifiers 1

IdentifierTypeStateIssuer
2725830MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1255378675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036803",
            "telephone_number": "989-791-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036803",
            "telephone_number": "989-791-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY CHAKU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "CHAKU",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-791-2512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "VC046248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2725830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.