{
"Npi": {
"NPI": "1073563292",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SADHUKHAN",
"FirstName": "MADHUMITA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CHATTERJEE",
"OtherFirstName": "MADHUMITA",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "304 N WATER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LANCASTER",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17603-3374",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-735-6808",
"MailingAddressFaxNumber": "717-945-1587",
"FirstLinePracticeLocationAddress": "802 NEW HOLLAND AVE STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANCASTER",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17602-2288",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-299-6371",
"PracticeLocationAddressFaxNumber": "717-945-1587",
"EnumerationDate": "05/10/2006",
"LastUpdateDate": "03/09/2018",
"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": "MD071289L",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}