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1255629234 NPI number — VASUDHA RANI SHAH D.P.M.

NPI Number: 1255629234
Health Care Provider/Practitioner: VASUDHA RANI SHAH D.P.M.

Information about “1255629234” NPI (VASUDHA RANI SHAH D.P.M.) exists in 1255629234 in HTML format HTML  |  1255629234 in plain Text format TXT  |  1255629234 in PDF (Portable Document Format) PDF  |  1255629234 in an XML format XML  formats.

NPI Number : 1255629234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255629234",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAH",
    "FirstName": "VASUDHA",
    "MiddleName": "RANI",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.P.M.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KAUSHISH",
    "OtherFirstName": "VASUDHA",
    "OtherMiddleName": "RANI",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.P.M.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3925 JOHNS CREEK CT",
    "SecondLineMailingAddress": "SUITE C2",
    "MailingAddressCityName": "SUWANEE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30024-6618",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-871-0876",
    "MailingAddressFaxNumber": "678-871-0836",
    "FirstLinePracticeLocationAddress": "3925 JOHNS CREEK CT",
    "SecondLinePracticeLocationAddress": "SUITE C2",
    "PracticeLocationAddressCityName": "SUWANEE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30024-6618",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-871-0876",
    "PracticeLocationAddressFaxNumber": "678-871-0836",
    "EnumerationDate": "07/12/2011",
    "LastUpdateDate": "04/20/2015",
    "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": "213ES0103X",
        "TaxonomyName": "Foot & Ankle Surgery Podiatrist",
        "LicenseNumber": "POD001248",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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