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1184009573 NPI number — NADIR BALUCH MD

NPI Number: 1184009573
Health Care Provider/Practitioner: NADIR BALUCH MD

Information about “1184009573” NPI (NADIR BALUCH MD) exists in 1184009573 in HTML format HTML  |  1184009573 in plain Text format TXT  |  1184009573 in PDF (Portable Document Format) PDF  |  1184009573 in an XML format XML  formats.

NPI Number : 1184009573 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184009573",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BALUCH",
    "FirstName": "NADIR",
    "MiddleName": null,
    "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": "2330 JACK WARNER PKWY UNIT B-109B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSCALOOSA",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35401-1069",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-593-7875",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "110 E. SAVANNAH AVE",
    "SecondLinePracticeLocationAddress": "BLDG B STE 203",
    "PracticeLocationAddressCityName": "MCALLEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78503",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-686-7611",
    "PracticeLocationAddressFaxNumber": "956-618-3164",
    "EnumerationDate": "07/27/2015",
    "LastUpdateDate": "11/16/2020",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD.38019",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "RL13644",
          "LicenseNumberStateCode": "ND",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "S7386",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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