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1306920194 NPI number — MOHAMAD DJAVAD NAFICY M.D.

NPI Number: 1306920194
Health Care Provider/Practitioner: MOHAMAD DJAVAD NAFICY M.D.

Information about “1306920194” NPI (MOHAMAD DJAVAD NAFICY M.D.) exists in 1306920194 in HTML format HTML  |  1306920194 in plain Text format TXT  |  1306920194 in PDF (Portable Document Format) PDF  |  1306920194 in an XML format XML  formats.

NPI Number : 1306920194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306920194",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAFICY",
    "FirstName": "MOHAMAD",
    "MiddleName": "DJAVAD",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 5360",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "BEVERLY HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90209-5360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-909-3916",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9107 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "BEVERLY HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90210-5531",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-909-3916",
    "PracticeLocationAddressFaxNumber": "310-246-0099",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "04/14/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "C51746",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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