Provider Demographics
NPI:1235938580
Name:CHOCKALINGAM, ANNA (PHD, HCLD(ABB))
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CHOCKALINGAM
Suffix:
Gender:
Credentials:PHD, HCLD(ABB)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 551540
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32255-1540
Mailing Address - Country:US
Mailing Address - Phone:607-280-3416
Mailing Address - Fax:
Practice Address - Street 1:8659 BAYPINE RD STE 307
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7554
Practice Address - Country:US
Practice Address - Phone:904-322-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory