| Lax H. Chudasama, M.d.p.c. | |
|
3820 Bland Rd Raleigh NC 27609-6239 | |
| (919) 277-0491 | |
| (919) 277-0493 |
| Full Name | Lax H. Chudasama, M.d.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3820 Bland Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Laxmikant Harjivan Chudasama (PRESIDENT) |
| Authorized Official Contact | 9192770491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lax H. Chudasama, M.d.p.c. 3820 Bland Rd Raleigh NC 27609-6239 Ph: (919) 277-0491 | Lax H. Chudasama, M.d.p.c. 3820 Bland Rd Raleigh NC 27609-6239 Ph: (919) 277-0491 |
| NPI Number | 1376509372 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 02/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376509372 | NPI | - | NPPES |
| 5901902 | Medicaid | NC | |
| 0480074 | Other | NC | UNITED HEALTHCARE |
| 036640 | Other | VA | BCBS OF VIRGINIA |
| 21628 | Other | NC | WELLPATH |
| 22509 | Other | NC | BCBS OF N.C. |
| 207003 | Other | NC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35610 (North Carolina) | Primary |
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