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1104916592 NPI number — GOVIND C.. RAO

NPI Number: 1104916592
Health Care Provider/Practitioner: GOVIND C.. RAO

Information about “1104916592” NPI (GOVIND C.. RAO) exists in 1104916592 in HTML format HTML  |  1104916592 in plain Text format TXT  |  1104916592 in PDF (Portable Document Format) PDF  |  1104916592 in an XML format XML  formats.

NPI Number : 1104916592 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104916592",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOVIND C.. RAO",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 FRONT ST",
    "SecondLineMailingAddress": "NEENA RAO MEDICAL CENTER",
    "MailingAddressCityName": "AMSTERDAM",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-843-4414",
    "MailingAddressFaxNumber": "518-843-4415",
    "FirstLinePracticeLocationAddress": "1 FRONT ST",
    "SecondLinePracticeLocationAddress": "NEENA RAO MEDICAL CENTER",
    "PracticeLocationAddressCityName": "AMSTERDAM",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-843-4414",
    "PracticeLocationAddressFaxNumber": "518-843-4415",
    "EnumerationDate": "10/13/2006",
    "LastUpdateDate": "06/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAO",
    "AuthorizedOfficialFirstName": "GOVIND",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "518-843-4414",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2080A0000X",
        "TaxonomyName": "Pediatric Adolescent Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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