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1194731695 NPI number — MANJUL R MEHRA MD

NPI Number: 1194731695
Health Care Provider/Practitioner: MANJUL R MEHRA MD

Information about “1194731695” NPI (MANJUL R MEHRA MD) exists in 1194731695 in HTML format HTML  |  1194731695 in plain Text format TXT  |  1194731695 in PDF (Portable Document Format) PDF  |  1194731695 in an XML format XML  formats.

NPI Number : 1194731695 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194731695",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEHRA",
    "FirstName": "MANJUL",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MEHRA",
    "OtherFirstName": "MANJUL",
    "OtherMiddleName": "RANA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2130 MASTERS LANE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSOURI CITY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77459",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-437-9405",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6776 SW FREEWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77054",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-988-4878",
    "PracticeLocationAddressFaxNumber": "713-988-8195",
    "EnumerationDate": "08/01/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "G6565",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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