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1447003298 NPI number — MARIUS EMANUEL DSOUZA DOCTOR OF MEDICINE

NPI Number: 1447003298
Health Care Provider/Practitioner: MARIUS EMANUEL DSOUZA DOCTOR OF MEDICINE

Information about “1447003298” NPI (MARIUS EMANUEL DSOUZA DOCTOR OF MEDICINE) exists in 1447003298 in HTML format HTML  |  1447003298 in plain Text format TXT  |  1447003298 in PDF (Portable Document Format) PDF  |  1447003298 in an XML format XML  formats.

NPI Number : 1447003298 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447003298",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DSOUZA",
    "FirstName": "MARIUS",
    "MiddleName": "EMANUEL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "DOCTOR OF MEDICINE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "602, SILVER ARK",
    "SecondLineMailingAddress": "CONVENT AVENUE, SANTACRUZ WEST",
    "MailingAddressCityName": "MUMBAI",
    "MailingAddressStateName": "MAHARASHTRA",
    "MailingAddressPostalCode": "400054",
    "MailingAddressCountryCode": "IN",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1400 PELHAM PARKWAY SOUTH",
    "SecondLinePracticeLocationAddress": "JACOBI MEDICAL CENTER",
    "PracticeLocationAddressCityName": "BRONX, NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10461",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-918-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/10/2024",
    "LastUpdateDate": "12/23/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/22/2024",
    "NPIReactivationDate": "12/23/2024",
    "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": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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