NPI Code Detail JSON Logo

1417033705 NPI number — SABEEHA HAQUE ALI MD

NPI Number: 1417033705
Health Care Provider/Practitioner: SABEEHA HAQUE ALI MD

Information about “1417033705” NPI (SABEEHA HAQUE ALI MD) exists in 1417033705 in HTML format HTML  |  1417033705 in plain Text format TXT  |  1417033705 in PDF (Portable Document Format) PDF  |  1417033705 in an XML format XML  formats.

NPI Number : 1417033705 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417033705",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAQUE ALI",
    "FirstName": "SABEEHA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HAQUE",
    "OtherFirstName": "SABEEHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "102 N LOGAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61832-8513",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-442-5863",
    "MailingAddressFaxNumber": "217-442-5040",
    "FirstLinePracticeLocationAddress": "102 N LOGAN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DANVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61832-8513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-442-5863",
    "PracticeLocationAddressFaxNumber": "217-442-5040",
    "EnumerationDate": "10/29/2006",
    "LastUpdateDate": "05/22/2019",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "036109029",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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