NPI Code Detail JSON Logo

1386491496 NPI number — KATHERINE VANESSA DUDAMEL MD

NPI Number: 1386491496
Health Care Provider/Practitioner: KATHERINE VANESSA DUDAMEL MD

Information about “1386491496” NPI (KATHERINE VANESSA DUDAMEL MD) exists in 1386491496 in HTML format HTML  |  1386491496 in plain Text format TXT  |  1386491496 in PDF (Portable Document Format) PDF  |  1386491496 in an XML format XML  formats.

NPI Number : 1386491496 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386491496",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUDAMEL",
    "FirstName": "KATHERINE",
    "MiddleName": "VANESSA",
    "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": "1911 HOLCOMBE BLVD APT 2002",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77030-4194",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-605-2886",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6431 FANNIN STREET",
    "SecondLinePracticeLocationAddress": "MSB 1.134",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77030",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-500-6526",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/06/2024",
    "LastUpdateDate": "05/06/2024",
    "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": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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