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1093177032 NPI number — ZARIYAT MOHSENA MANNAN MD

NPI Number: 1093177032
Health Care Provider/Practitioner: ZARIYAT MOHSENA MANNAN MD

Information about “1093177032” NPI (ZARIYAT MOHSENA MANNAN MD) exists in 1093177032 in HTML format HTML  |  1093177032 in plain Text format TXT  |  1093177032 in PDF (Portable Document Format) PDF  |  1093177032 in an XML format XML  formats.

NPI Number : 1093177032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093177032",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANNAN",
    "FirstName": "ZARIYAT",
    "MiddleName": "MOHSENA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25 CHILCOTT PL UNIT 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOSTON",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02130-5294",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-510-6311",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1237 HARDING PLACE",
    "SecondLinePracticeLocationAddress": "STE 3100",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-373-0212",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/28/2016",
    "LastUpdateDate": "01/28/2025",
    "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": "207RC0000X",
        "TaxonomyName": "Cardiovascular Disease Physician",
        "LicenseNumber": "202402315",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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