Organization Active NPI

DRS Budhraja, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Little Rock, AR
National Provider Identifier
1265675466
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R3862 Issued in AR
Legal business name
DRS BUDHRAJA, PA
Practice address
11321 Interstate 30 Ste 200
Little Rock, AR 72209-7066
Phone
(501) 455-7009
Fax
(501) 455-7026
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Dr. Madhu Sudan Budhraja, M.D.
Title
Physician
Phone
(501) 455-7009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X R3862 AR Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X R3893 AR

Addresses

Primary practice location

11321 Interstate 30 Ste 200
Little Rock, AR 72209-7066

Mailing address

11321 Interstate 30 Ste 200
Little Rock, AR 72209-7066
Phone (501) 455-7009

National Provider Directory

National Provider Directory

Locations

11321 Interstate 30
Ste 200
Little Rock, AR 72209
Phone (501) 444-2748

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1265675466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097066",
            "telephone_number": "501-455-7009",
            "fax_number": "501-455-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097066",
            "telephone_number": "501-455-7009",
            "fax_number": "501-455-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BUDHRAJA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "BUDHRAJA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "SUDAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-455-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "R3862",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "R3893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.