Lax H. Chudasama, M.D.P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35610 Issued in NC

Legal business name

LAX H. CHUDASAMA, M.D.P.C.

Practice address

3820 Bland Rd
Raleigh, NC 27609-6239

Phone

(919) 277-0491

Fax

(919) 277-0493

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laxmikant Harjivan Chudasama, M.D.P.C.

Title

President

Phone

(919) 277-0491

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1376509372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096239",
            "telephone_number": "919-277-0491",
            "fax_number": "919-277-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096239",
            "telephone_number": "919-277-0491",
            "fax_number": "919-277-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX H. CHUDASAMA, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "CHUDASAMA",
        "authorized_official_first_name": "LAXMIKANT",
        "authorized_official_middle_name": "HARJIVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-277-0491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901902",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0480074",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VIRGINIA",
            "identifier": "036640",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "21628",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF N.C.",
            "identifier": "22509",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "207003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jane Lawson, FNP
• Russell Drummond Lawson, MSW LCSWA CDP CMDCP
• Brian Lawton, DPT
• Brianne Lawton, ATC
• Lynn Lawton, PTA
• Harry H Lay III, RN, MSN, FNP-BC
• Alynna Sky Layton
• Jessica Chenille Lazenby, LCSW
• Hung N Le, MD
• Jennifer Le, DMD

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, 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 Feb 13, 2014; 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.