Organization Active NPI

Rajendra Singh Chouhan MD

Doing business as Prime Diagnostics

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1750521860
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R29206 Issued in TX
Legal business name
RAJENDRA SINGH CHOUHAN MD
Doing business as
Prime Diagnostics
Practice address
1001 12TH Ave
Suite 180
Fort Worth, TX 76104-3926
Phone
(817) 870-4800
Fax
(817) 335-6451
NPI assigned
Mar 2, 2009
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Rajendra Singh Chouhan, MD
Title
Owner
Phone
(817) 870-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X R29206 TX Primary

Addresses

Primary practice location

1001 12TH Ave
Suite 180
Fort Worth, TX 76104-3926

Mailing address

1001 12TH Ave
Suite 180
Fort Worth, TX 76104-3926
Phone (817) 870-4800

Other names 1

  • Prime Diagnostics Doing business as

National Provider Directory

National Provider Directory

Locations

1001 12th Ave
Ste 180
Fort Worth, TX 76104
Phone (817) 707-7794

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1750521860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE",
            "address_2": "SUITE 180",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-870-4800",
            "fax_number": "817-335-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE",
            "address_2": "SUITE 180",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-870-4800",
            "fax_number": "817-335-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA SINGH CHOUHAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "CHOUHAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-870-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R29206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.