Dr Ritu Chitakki MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0051171 Issued in MD

Legal business name

DR RITU CHITAKKI MD LLC

Practice address

3450 Laurel Fort Meade Rd
Suite 207
Laurel, MD 20724-2040

Phone

(301) 490-3088

Fax

(301) 490-2575

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Ritu Chitakki, M.D.NPI 1609823798

Title

Primary Care Physician/Owner

Phone

(301) 490-3088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ritu Chitakki, M.D.

  • Family Medicine Physician
  • Laurel, MD
  • NPI 1609823798
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1447569579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "address_2": "SUITE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-490-3088",
            "fax_number": "301-490-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LAUREL FORT MEADE RD",
            "address_2": "SUITE 207",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242040",
            "telephone_number": "301-490-3088",
            "fax_number": "301-490-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RITU CHITAKKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "CHITAKKI",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "PRIMARY CARE PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "301-490-3088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0051171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Laurel, MD
• Providers in Laurel, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.