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1396024006 NPI number — TASNEEM SALEH ALAQZAM

NPI Number: 1396024006
Health Care Provider/Practitioner: TASNEEM SALEH ALAQZAM

Information about “1396024006” NPI (TASNEEM SALEH ALAQZAM) exists in 1396024006 in HTML format HTML  |  1396024006 in plain Text format TXT  |  1396024006 in PDF (Portable Document Format) PDF  |  1396024006 in an XML format XML  formats.

NPI Number : 1396024006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396024006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALAQZAM",
    "FirstName": "TASNEEM",
    "MiddleName": "SALEH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALAQZAM",
    "OtherFirstName": "TASNEEM",
    "OtherMiddleName": "SALEH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "KU WICHITA GENERAL PEDIATRIC 620 N CARRIAGE PKWY",
    "SecondLineMailingAddress": "620 N CARRIAGE PARKWAY",
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67208-4501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "550 N HILLSIDE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67214-4910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-962-2000",
    "PracticeLocationAddressFaxNumber": "303-306-7753",
    "EnumerationDate": "08/11/2011",
    "LastUpdateDate": "11/02/2018",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "04-40623",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "04-40623",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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