Madan Lal M.D. P.a.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

26839 Issued in NC

Legal business name

MADAN LAL M.D. P.A.

Practice address

925 N Brightleaf Blvd
Smithfield, NC 27577-4357

Phone

(919) 934-3108

Fax

(919) 938-1770

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Amita Gupta

Title

Manager

Phone

(919) 934-3108

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nitin Gupta, M.D., M.P.H.

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1962454835
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1295908440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770239",
            "telephone_number": "919-934-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774357",
            "telephone_number": "919-934-3108",
            "fax_number": "919-938-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAN LAL M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AMITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-934-3108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "26839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7950626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Luria
• Amy Lloyd Lysen, M.S., CCC-SLP
• James Alexis Macdonald Jr., M.D.
• Allison Renee Machado, CRNA
• Nicole Mack
• Michael Wayne Madsen, M.D.
• Anneri Jazmin Maduro, OT
• Julie Maggio
• Mitchell Amuda Mah'Moud, MD
• Patricia Sue Mahlschnee, MA CCC SLP

• Eyewear Supplier in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.