Organization Active NPI

Rajendra Singh Chouhan MD

  • Clinical Medical Laboratory
  • Fort Worth, TX
National Provider Identifier
1942522768
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RAJENDRA SINGH CHOUHAN MD
Practice address
1115 Pennsylvania Ave
Suite a
Fort Worth, TX 76104-2153
Phone
(817) 335-7803
Fax
(817) 922-9622
NPI assigned
Feb 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Rajendra Singh Chouhan, M.D.
Title
Sole Proprietor
Phone
(817) 335-7803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1115 Pennsylvania Ave
Suite a
Fort Worth, TX 76104-2153

Mailing address

615 Matlock Centre Cir
Arlington, TX 76015-2535
Phone (817) 335-7803

National Provider Directory

National Provider Directory

Locations

1650 W Rosedale St
Ste 304
Fort Worth, TX 76104
Phone (817) 335-7803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1942522768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152535",
            "telephone_number": "817-335-7803",
            "fax_number": "817-922-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 PENNSYLVANIA AVE",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042153",
            "telephone_number": "817-335-7803",
            "fax_number": "817-922-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA SINGH CHOUHAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "CHOUHAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "817-335-7803",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 2013; 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.