Jagdish Lal MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9900578 Issued in NC

Legal business name

JAGDISH LAL MD PA

Practice address

6977 Nexus Court
Suite 101
Fayetteville, NC 28304-2651

Phone

(910) 864-7933

Fax

(910) 864-3180

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jagdish Lal, MDNPI 1083802763

Title

Owner Physician

Phone

(910) 864-7933

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Rayconda Internal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdish Lal, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1083802763
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1053338947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25217",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-864-7933",
            "fax_number": "910-864-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6977 NEXUS COURT",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042651",
            "telephone_number": "910-864-7933",
            "fax_number": "910-864-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGDISH LAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "910-864-7933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9900578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0438753",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "084806830",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rayconda Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leon Jacobs, M.ED
• Olivia Shea Jacobson, MA, CCC-SLP
• Sarah Elizabeth Jacobson, DO
• Charles West Jacocks IV, MD
• Jactom Inc
• Tahmida Jahangir, MD
• Haja Jallow-Konrat
• James D Douglass DDS PA
• James E Rice, DDS PA
• James M. Barry, MSW, LCSW, Inc.

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.