NPI Code Detail JSON Logo

1356957880 NPI number — NISHA BHORANIA D.M.D, MPH

NPI Number: 1356957880
Health Care Provider/Practitioner: NISHA BHORANIA D.M.D, MPH

Information about “1356957880” NPI (NISHA BHORANIA D.M.D, MPH) exists in 1356957880 in HTML format HTML  |  1356957880 in plain Text format TXT  |  1356957880 in PDF (Portable Document Format) PDF  |  1356957880 in an XML format XML  formats.

NPI Number : 1356957880 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356957880",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BHORANIA",
    "FirstName": "NISHA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D, MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1109 N INTERSTATE 35 APT 1703",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78702-2063",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-408-9174",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6779 W STATE HIGHWAY 29 STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GEORGETOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78628-6977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "737-273-0828",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/21/2020",
    "LastUpdateDate": "04/14/2024",
    "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": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "019032816",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.