NPI Code Detail JSON Logo

1235210352 NPI number — GEETA YALAMANCHI MD

NPI Number: 1235210352
Health Care Provider/Practitioner: GEETA YALAMANCHI MD

Information about “1235210352” NPI (GEETA YALAMANCHI MD) exists in 1235210352 in HTML format HTML  |  1235210352 in plain Text format TXT  |  1235210352 in PDF (Portable Document Format) PDF  |  1235210352 in an XML format XML  formats.

NPI Number : 1235210352 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235210352",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YALAMANCHI",
    "FirstName": "GEETA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAO",
    "OtherFirstName": "GEETA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7 SANTORA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RARITAN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08869-2313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-423-8292",
    "MailingAddressFaxNumber": "908-450-7737",
    "FirstLinePracticeLocationAddress": "245 UNION AVE STE 2A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRIDGEWATER",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08807-3064",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-423-8292",
    "PracticeLocationAddressFaxNumber": "908-450-7737",
    "EnumerationDate": "10/17/2006",
    "LastUpdateDate": "02/27/2020",
    "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": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "25MA08109500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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