NPI Code Detail JSON Logo

1174901201 NPI number — BADLANI HEALTHCARE ASSOCIATES MDSC

NPI Number: 1174901201
Health Care Provider/Practitioner: BADLANI HEALTHCARE ASSOCIATES MDSC

Information about “1174901201” NPI (BADLANI HEALTHCARE ASSOCIATES MDSC) exists in 1174901201 in HTML format HTML  |  1174901201 in plain Text format TXT  |  1174901201 in PDF (Portable Document Format) PDF  |  1174901201 in an XML format XML  formats.

NPI Number : 1174901201 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174901201",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BADLANI HEALTHCARE ASSOCIATES MDSC",
    "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": "312 OTTAWA LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAK BROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60523-2788",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-883-3953",
    "MailingAddressFaxNumber": "773-883-3649",
    "FirstLinePracticeLocationAddress": "2266 N LINCOLN AVE",
    "SecondLinePracticeLocationAddress": "LOWER LEVEL",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60614-7600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-368-0477",
    "PracticeLocationAddressFaxNumber": "773-883-3649",
    "EnumerationDate": "05/08/2015",
    "LastUpdateDate": "05/11/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BADLANI",
    "AuthorizedOfficialFirstName": "RAVI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "773-368-0477",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "036095133",
        "LicenseNumberStateCode": "IL",
        "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."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.