{
"Npi": {
"NPI": "1275706434",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PANKAJ VAKHARIA MD PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3547 INVERNESS DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCHESTER",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48306-4757",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-328-4000",
"MailingAddressFaxNumber": "248-328-1304",
"FirstLinePracticeLocationAddress": "15224 APOLLO DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOLLY",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48442-1166",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-328-4000",
"PracticeLocationAddressFaxNumber": "248-328-1304",
"EnumerationDate": "04/09/2008",
"LastUpdateDate": "03/29/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAKHARIA",
"AuthorizedOfficialFirstName": "PANKAJ",
"AuthorizedOfficialMiddleName": "N.",
"AuthorizedOfficialTitle": "OWNER / PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "248-328-4000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "PV033669",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}