Rejuvenation MD, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200400470 Issued in NC

Legal business name

REJUVENATION MD, P.A.

Practice address

610 N Fayetteville St
Suite 301
Asheboro, NC 27203-4670

Phone

(336) 633-4034

Fax

(336) 633-4069

NPI assigned

Jan 27, 2015

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Umbreen Chaudhary, MDNPI 1841288685

Title

Owner

Phone

(336) 633-4034

Specialties & licenses 2

Addresses

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.

• Umbreen J Chaudhary, M.D.

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1841288685
  Authorized official Same address or phone

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1730579848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 301",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-633-4034",
            "fax_number": "336-633-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 301",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-633-4034",
            "fax_number": "336-633-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "UMBREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-633-4034",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200400470",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "9501252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Asheboro, NC
• Providers in Asheboro, 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 Apr 27, 2018; 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.