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1154554731 NPI number — MEHRANEH DORNA JAFARI MD

NPI Number: 1154554731
Health Care Provider/Practitioner: MEHRANEH DORNA JAFARI MD

Information about “1154554731” NPI (MEHRANEH DORNA JAFARI MD) exists in 1154554731 in HTML format HTML  |  1154554731 in plain Text format TXT  |  1154554731 in PDF (Portable Document Format) PDF  |  1154554731 in an XML format XML  formats.

NPI Number : 1154554731 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154554731",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAFARI",
    "FirstName": "MEHRANEH",
    "MiddleName": "DORNA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "525 E 68TH ST # K-802C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10065-4870",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-962-2242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1300 YORK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10065-4805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-962-2270",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/28/2009",
    "LastUpdateDate": "12/18/2023",
    "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": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "279901",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "A116542",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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