Individual provider Active NPI

Anil Kiran Chokkalla, PHD, D(ABCC), NRCC

  • Chemistry Pathology Specialist/Technologist
  • Fargo, ND
National Provider Identifier
1801704754
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chemistry Pathology Specialist/TechnologistTaxonomy code 246QC1000X
License
1351
Practice address
737 Broadway N
Fargo, ND 58102-4421
Phone
(701) 234-2450
NPI assigned
Aug 31, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chemistry Pathology Specialist/Technologist 246QC1000X 1351 Primary

Addresses

Primary practice location

737 Broadway N
Fargo, ND 58102-4421

Mailing address

2920 Sheyenne St Apt 518
West Fargo, ND 58078-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1801704754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SHEYENNE ST APT 518",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580786018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024421",
            "telephone_number": "701-234-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKKALLA",
        "first_name": "ANIL KIRAN",
        "name_prefix": "Dr.",
        "credential": "PHD, D(ABCC), NRCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": null,
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.