Provider Demographics
NPI:1649438193
Name:CHAKILAM, RAMAKRISHNA (MD)
Entity type:Individual
Prefix:DR
First Name:RAMAKRISHNA
Middle Name:
Last Name:CHAKILAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6102 PARKWAY DR STE 106
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2494
Mailing Address - Country:US
Mailing Address - Phone:361-226-1908
Mailing Address - Fax:361-332-4929
Practice Address - Street 1:6102 PARKWAY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414
Practice Address - Country:US
Practice Address - Phone:361-226-1908
Practice Address - Fax:361-332-4929
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040126207RP1001X
VA0101247909208M00000X
NM390200000X
TXQ4061207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program