Individual
DR. LAXMIKANT HARJIVAN CHUDASAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 BLAND RD, RALEIGH, NC 27609-6239
(919) 277-0491
(919) 277-0493
Mailing address
3820 BLAND RD, RALEIGH, NC 27609-6239
(919) 277-0491
(919) 277-0493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036640
BCBSOF VA
VA
01
—
0480074
UNITED HEALTHCARE
NC
01
—
207003
CIGNA
NC
01
—
21628
WELLPATH
NC
01
—
22509
BCBS OF NC
NC
05
—
5901902
—
NC
Enumeration date
04/26/2006
Last updated
02/13/2014
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