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1376061226 NPI number — GOWTHAMI KOBBARI MD

NPI Number: 1376061226
Health Care Provider/Practitioner: GOWTHAMI KOBBARI MD

Information about “1376061226” NPI (GOWTHAMI KOBBARI MD) exists in 1376061226 in HTML format HTML  |  1376061226 in plain Text format TXT  |  1376061226 in PDF (Portable Document Format) PDF  |  1376061226 in an XML format XML  formats.

NPI Number : 1376061226 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376061226",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOBBARI",
    "FirstName": "GOWTHAMI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "140 W 7TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COOKEVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38501-1726",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "931-783-5582",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "145 W 4TH ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COOKEVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38501-2476",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-783-2143",
    "PracticeLocationAddressFaxNumber": "931-783-2152",
    "EnumerationDate": "08/30/2017",
    "LastUpdateDate": "09/21/2023",
    "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": "207RP1001X",
        "TaxonomyName": "Pulmonary Disease Physician",
        "LicenseNumber": "67480",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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