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1225250244 NPI number — SRINIVASA LAKSHMI ALLA MD

NPI Number: 1225250244
Health Care Provider/Practitioner: SRINIVASA LAKSHMI ALLA MD

Information about “1225250244” NPI (SRINIVASA LAKSHMI ALLA MD) exists in 1225250244 in HTML format HTML  |  1225250244 in plain Text format TXT  |  1225250244 in PDF (Portable Document Format) PDF  |  1225250244 in an XML format XML  formats.

NPI Number : 1225250244 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225250244",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALLA",
    "FirstName": "SRINIVASA",
    "MiddleName": "LAKSHMI",
    "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": "PO BOX 305705",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST THOMAS",
    "MailingAddressStateName": "VI",
    "MailingAddressPostalCode": "00803-5705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "340-777-8210",
    "MailingAddressFaxNumber": "340-776-9739",
    "FirstLinePracticeLocationAddress": "1603 SIXTH ST",
    "SecondLinePracticeLocationAddress": "SUGAR ESTATE",
    "PracticeLocationAddressCityName": "ST THOMAS",
    "PracticeLocationAddressStateName": "VI",
    "PracticeLocationAddressPostalCode": "00802-2635",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "340-777-8210",
    "PracticeLocationAddressFaxNumber": "340-776-9739",
    "EnumerationDate": "05/02/2007",
    "LastUpdateDate": "05/05/2016",
    "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": "208D00000X",
        "TaxonomyName": "General Practice Physician",
        "LicenseNumber": "604",
        "LicenseNumberStateCode": "VI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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