Surajit Chaudhuri MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

9400218 Issued in NC

Legal business name

SURAJIT CHAUDHURI MD PA

Practice address

1205 Cape Court
Suite B
Fayetteville, NC 28304-4404

Phone

(910) 483-8361

Fax

(910) 485-0672

NPI assigned

Dec 27, 2006

Last updated

Apr 14, 2008By 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

Surajit Chaudhuri, MDNPI 1497727879

Title

President

Phone

(910) 483-8361

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Surajit Chaudhuri, MD

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1497727879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1861558827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42907",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283092907",
            "telephone_number": "910-483-8361",
            "fax_number": "910-485-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CAPE COURT",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044404",
            "telephone_number": "910-483-8361",
            "fax_number": "910-485-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAJIT CHAUDHURI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURI",
        "authorized_official_first_name": "SURAJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-483-8361",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "9400218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497727879",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.