Lakeside Medical Group-Dr. Raj Chawla P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LAKESIDE MEDICAL GROUP-DR. RAJ CHAWLA P.C.

Practice address

14300 Gallant Fox LN Ste 210
Bowie, MD 20715-4033

Phone

(301) 809-5556

Fax

(301) 809-5510

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raj Chawla, M.D.NPI 1750357026

Title

President

Phone

(301) 809-6494

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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, and the practitioner matching its NPPES authorized official.

• Raj Kumar Chawla, MD

  • Infectious Disease Physician
  • Bowie, MD
  • NPI 1750357026

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558423822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 205",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-809-6494",
            "fax_number": "301-809-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "301-809-5556",
            "fax_number": "301-809-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MEDICAL GROUP-DR. RAJ CHAWLA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-809-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407439400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Lloyd L Jones
• Janna La Barrie, PT
• Yashica Nakitia Ladejobi
• Rebecca Christine Lagatare, LCSW-C
• Lake Wellness Collective
• Lakeview Surgery Center LLC
• Magalie Stacie Lamour, R.N.
• Elyse Lancaster
• Lance F. Caffiero DPM PA
• Dominic Lane

• Internal Medicine Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.