Active NPI
Choomsang Lohavichan, M.D.
- Nephrology Physician
- Fayetteville, NC
National Provider Identifier
1740420892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 18461
- Practice address
- 1123 Longleaf Dr
Fayetteville, NC 28305-5278 - Phone
- (910) 323-5980
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 18461 | NC | Primary |
Addresses
Primary practice location
1123 Longleaf Dr
Fayetteville, NC 28305-5278
Mailing address
1123 Longleaf Dr
Fayetteville, NC 28305-5278
Phone (910) 323-5980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18461 | NC | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1740420892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 LONGLEAF DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055278",
"telephone_number": "910-323-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 LONGLEAF DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055278",
"telephone_number": "910-323-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHAVICHAN",
"first_name": "CHOOMSANG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "18461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.