M K Alchokhachy Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28348 Issued in MA

Legal business name

M K ALCHOKHACHY INC

Practice address

143 Court St
Plymouth, MA 02360-3807

Phone

(508) 746-6300

Fax

(508) 747-6602

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Modhaffer K. Al-Chokhachy

Title

M.D.

Phone

(508) 746-6300

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1518165455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023620900",
            "telephone_number": "508-746-6300",
            "fax_number": "508-747-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603807",
            "telephone_number": "508-746-6300",
            "fax_number": "508-747-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M K ALCHOKHACHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AL-CHOKHACHY",
        "authorized_official_first_name": "MODHAFFER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "508-746-6300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "28348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "452855",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD  PILGRIM",
            "identifier": "8023",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9710914",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "705633",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1701051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.