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1427672245 NPI number — HASSAN ISHAQ

NPI Number: 1427672245
Health Care Provider/Practitioner: HASSAN ISHAQ

Information about “1427672245” NPI (HASSAN ISHAQ) exists in 1427672245 in HTML format HTML  |  1427672245 in plain Text format TXT  |  1427672245 in PDF (Portable Document Format) PDF  |  1427672245 in an XML format XML  formats.

NPI Number : 1427672245 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427672245",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ISHAQ",
    "FirstName": "HASSAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "730 IRONWOOD DR APT 305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48307-1320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "507-405-9546",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 HIGH PARK AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GOSHEN",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46526-4810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-364-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/08/2020",
    "LastUpdateDate": "07/20/2023",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "01089255A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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