Provider Demographics
NPI:1154511327
Name:MAIA CHAKERIAN, MD
Entity Type:Organization
Organization Name:MAIA CHAKERIAN, MD
Other - Org Name:SILICON VALLEY PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-356-0503
Mailing Address - Street 1:14601 S BASCOM AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2044
Mailing Address - Country:US
Mailing Address - Phone:408-356-0503
Mailing Address - Fax:
Practice Address - Street 1:14601 S BASCOM AVENUE STE 240
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2044
Practice Address - Country:US
Practice Address - Phone:408-356-0503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty