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1104266477 NPI number — FERHAD FEROZE BASHIR MD

NPI Number: 1104266477
Health Care Provider/Practitioner: FERHAD FEROZE BASHIR MD

Information about “1104266477” NPI (FERHAD FEROZE BASHIR MD) exists in 1104266477 in HTML format HTML  |  1104266477 in plain Text format TXT  |  1104266477 in PDF (Portable Document Format) PDF  |  1104266477 in an XML format XML  formats.

NPI Number : 1104266477 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104266477",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BASHIR",
    "FirstName": "FERHAD",
    "MiddleName": "FEROZE",
    "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": "1790 HUGHES LANDING BLVD STE 400",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THE WOODLANDS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77380-1691",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-209-8286",
    "MailingAddressFaxNumber": "832-995-5874",
    "FirstLinePracticeLocationAddress": "1790 HUGHES LANDING BLVD STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THE WOODLANDS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77380-1691",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-209-8286",
    "PracticeLocationAddressFaxNumber": "832-995-5874",
    "EnumerationDate": "07/01/2013",
    "LastUpdateDate": "04/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "79507",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "036141106",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "S0842",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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