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1427036052 NPI number — BAMPEN CHARO MD

NPI Number: 1427036052
Health Care Provider/Practitioner: BAMPEN CHARO MD

Information about “1427036052” NPI (BAMPEN CHARO MD) exists in 1427036052 in HTML format HTML  |  1427036052 in plain Text format TXT  |  1427036052 in PDF (Portable Document Format) PDF  |  1427036052 in an XML format XML  formats.

NPI Number : 1427036052 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427036052",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHARO",
    "FirstName": "BAMPEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHAROENCHITPISARN",
    "OtherFirstName": "BAMPEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1040 SIERRA DR",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46143-7240",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-528-4253",
    "MailingAddressFaxNumber": "317-865-8319",
    "FirstLinePracticeLocationAddress": "3800 W 203RD ST",
    "SecondLinePracticeLocationAddress": "STE 202",
    "PracticeLocationAddressCityName": "OLYMPIA FIELDS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60461-1184",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-679-2660",
    "PracticeLocationAddressFaxNumber": "708-503-3861",
    "EnumerationDate": "01/04/2006",
    "LastUpdateDate": "08/08/2013",
    "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": "207RP1001X",
        "TaxonomyName": "Pulmonary Disease Physician",
        "LicenseNumber": "036046854",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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