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1194911396 NPI number — RANJIT KUMAR JAIN M.D., M.B.B.S.

NPI Number: 1194911396
Health Care Provider/Practitioner: RANJIT KUMAR JAIN M.D., M.B.B.S.

Information about “1194911396” NPI (RANJIT KUMAR JAIN M.D., M.B.B.S.) exists in 1194911396 in HTML format HTML  |  1194911396 in plain Text format TXT  |  1194911396 in PDF (Portable Document Format) PDF  |  1194911396 in an XML format XML  formats.

NPI Number : 1194911396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194911396",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAIN",
    "FirstName": "RANJIT",
    "MiddleName": "KUMAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D., M.B.B.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "26901 BEAUMONT BLVD STE 3D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHFIELD",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48033-3849",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "947-522-1848",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3601 W 13 MILE RD",
    "SecondLinePracticeLocationAddress": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY",
    "PracticeLocationAddressCityName": "ROYAL OAK",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48073-6712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-898-6091",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2007",
    "LastUpdateDate": "07/21/2022",
    "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": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "4301089486",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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