Provider Demographics
NPI:1144210295
Name:CHAKURKAR, MRUNALINI A (MD)
Entity Type:Individual
Prefix:DR
First Name:MRUNALINI
Middle Name:A
Last Name:CHAKURKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8008 WESTPARK DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3109
Mailing Address - Country:US
Mailing Address - Phone:703-287-1079
Mailing Address - Fax:703-287-1076
Practice Address - Street 1:44055 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-5179
Practice Address - Country:US
Practice Address - Phone:703-858-3333
Practice Address - Fax:703-858-3330
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232230207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010177251Medicaid
I02804Medicare UPIN
VA008093P98Medicare ID - Type UnspecifiedVA MEDICARE