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1437105046 NPI number — AZHAR NISAR MD

NPI Number: 1437105046
Health Care Provider/Practitioner: AZHAR NISAR MD

Information about “1437105046” NPI (AZHAR NISAR MD) exists in 1437105046 in HTML format HTML  |  1437105046 in plain Text format TXT  |  1437105046 in PDF (Portable Document Format) PDF  |  1437105046 in an XML format XML  formats.

NPI Number : 1437105046 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437105046",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NISAR",
    "FirstName": "AZHAR",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1407 CHATTANOOGA AVE",
    "SecondLineMailingAddress": "SUITE B",
    "MailingAddressCityName": "DALTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30720-2631",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-279-0470",
    "MailingAddressFaxNumber": "706-279-1758",
    "FirstLinePracticeLocationAddress": "1407 CHATTANOOGA AVE",
    "SecondLinePracticeLocationAddress": "SUITE B",
    "PracticeLocationAddressCityName": "DALTON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30720-2631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-279-0470",
    "PracticeLocationAddressFaxNumber": "706-279-1758",
    "EnumerationDate": "05/25/2006",
    "LastUpdateDate": "04/11/2011",
    "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": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "G42375",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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