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1255860177 NPI number — AMIRA ROSE ALKHATIB DO

NPI Number: 1255860177
Health Care Provider/Practitioner: AMIRA ROSE ALKHATIB DO

Information about “1255860177” NPI (AMIRA ROSE ALKHATIB DO) exists in 1255860177 in HTML format HTML  |  1255860177 in plain Text format TXT  |  1255860177 in PDF (Portable Document Format) PDF  |  1255860177 in an XML format XML  formats.

NPI Number : 1255860177 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255860177",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALKHATIB",
    "FirstName": "AMIRA",
    "MiddleName": "ROSE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "810 HOSPITAL DR STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEAUMONT",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77701-4633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "409-212-5933",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3070 COLLEGE ST STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEAUMONT",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77701-4688",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-212-7100",
    "PracticeLocationAddressFaxNumber": "409-212-7140",
    "EnumerationDate": "06/05/2017",
    "LastUpdateDate": "10/20/2021",
    "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": "207VX0000X",
        "TaxonomyName": "Obstetrics Physician",
        "LicenseNumber": "S9839",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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