NPI Code Detail JSON Logo

1417510116 NPI number — YASSER ALL HAJI MD

NPI Number: 1417510116
Health Care Provider/Practitioner: YASSER ALL HAJI MD

Information about “1417510116” NPI (YASSER ALL HAJI MD) exists in 1417510116 in HTML format HTML  |  1417510116 in plain Text format TXT  |  1417510116 in PDF (Portable Document Format) PDF  |  1417510116 in an XML format XML  formats.

NPI Number : 1417510116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417510116",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAJI",
    "FirstName": "YASSER",
    "MiddleName": "ALL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALLHAJI",
    "OtherFirstName": "YASSER",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "11811 E. 12 MILE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48071-3472",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-636-6498",
    "MailingAddressFaxNumber": "586-636-6498",
    "FirstLinePracticeLocationAddress": "11800 E 12 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARREN",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48093",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-422-1686",
    "PracticeLocationAddressFaxNumber": "586-422-1687",
    "EnumerationDate": "04/17/2019",
    "LastUpdateDate": "06/10/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2086X0206X",
          "TaxonomyName": "Surgical Oncology Physician",
          "LicenseNumber": "36.082163",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2086X0206X",
          "TaxonomyName": "Surgical Oncology Physician",
          "LicenseNumber": "4210198273",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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