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1104353325 NPI number — KALPNA RANADIVE DMD, MDS, FAGS, NMD

NPI Number: 1104353325
Health Care Provider/Practitioner: KALPNA RANADIVE DMD, MDS, FAGS, NMD

Information about “1104353325” NPI (KALPNA RANADIVE DMD, MDS, FAGS, NMD) exists in 1104353325 in HTML format HTML  |  1104353325 in plain Text format TXT  |  1104353325 in PDF (Portable Document Format) PDF  |  1104353325 in an XML format XML  formats.

NPI Number : 1104353325 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104353325",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RANADIVE",
    "FirstName": "KALPNA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD, MDS, FAGS, NMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MADHAVAN",
    "OtherFirstName": "KALPANA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "10810 DARNESTOWN RD STE H2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAITHERSBURG",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20878-2602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-738-1074",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10810 DARNESTOWN RD STE H2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAITHERSBURG",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20878-2602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-738-1074",
    "PracticeLocationAddressFaxNumber": "240-493-8022",
    "EnumerationDate": "05/18/2017",
    "LastUpdateDate": "01/14/2023",
    "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": "174H00000X",
          "TaxonomyName": "Health Educator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "13983",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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