Organization
JAGDISH LAL MD PA
Active
Other names
Rayconda Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH LAL MD (OWNER PHYSICIAN)
(910) 864-7933
Entity
Organization
Contact information
Practice address
6977 NEXUS COURT, SUITE 101, FAYETTEVILLE, NC 28304-2651
(910) 864-7933
(910) 864-3180
Mailing address
PO BOX 25217, FAYETTEVILLE, NC 28314
(910) 864-7933
(910) 864-3180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0438753
UHC
—
01
—
084806830
TRICARE
—
01
—
12136
BCBS
—
05
—
8912136
—
NC
Enumeration date
07/16/2006
Last updated
06/28/2010
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