NPI Code Detail JSON Logo

1063513570 NPI number — FATIMAH OMAR JAH MD

NPI Number: 1063513570
Health Care Provider/Practitioner: FATIMAH OMAR JAH MD

Information about “1063513570” NPI (FATIMAH OMAR JAH MD) exists in 1063513570 in HTML format HTML  |  1063513570 in plain Text format TXT  |  1063513570 in PDF (Portable Document Format) PDF  |  1063513570 in an XML format XML  formats.

NPI Number : 1063513570 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063513570",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAH",
    "FirstName": "FATIMAH",
    "MiddleName": "OMAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SILLAH",
    "OtherFirstName": "FATIMAH",
    "OtherMiddleName": "OMAR",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "101 MISSION ST STE 800",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN FRANCISCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94105-1744",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-221-5140",
    "MailingAddressFaxNumber": "415-231-5332",
    "FirstLinePracticeLocationAddress": "101 MISSION ST STE 800",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN FRANCISCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94105-1744",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-221-5140",
    "PracticeLocationAddressFaxNumber": "415-231-5332",
    "EnumerationDate": "09/26/2006",
    "LastUpdateDate": "02/05/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "MD 28985",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.