NPI Code Detail JSON Logo

1073834735 NPI number — BIJI B JOSEPH M.D.

NPI Number: 1073834735
Health Care Provider/Practitioner: BIJI B JOSEPH M.D.

Information about “1073834735” NPI (BIJI B JOSEPH M.D.) exists in 1073834735 in HTML format HTML  |  1073834735 in plain Text format TXT  |  1073834735 in PDF (Portable Document Format) PDF  |  1073834735 in an XML format XML  formats.

NPI Number : 1073834735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073834735",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOSEPH",
    "FirstName": "BIJI",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOSEPH",
    "OtherFirstName": "BIJI",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6148 106 TH AVE.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KENOSHA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53142-7599",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-344-4803",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6148 106TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KENOSHA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53142-7599",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-344-4803",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2010",
    "LastUpdateDate": "01/23/2025",
    "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": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "53600- 020",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "53600-0200",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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