Provider Demographics
NPI:1245341619
Name:CHIDAKEL, AARON ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:ROSS
Last Name:CHIDAKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:555 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3301
Mailing Address - Country:US
Mailing Address - Phone:646-754-2000
Mailing Address - Fax:646-754-9693
Practice Address - Street 1:806 W DIAMOND AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1415
Practice Address - Country:US
Practice Address - Phone:301-977-0056
Practice Address - Fax:301-977-5151
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060975207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4142977 00Medicaid
MDG02709W01Medicare PIN