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1447663646 NPI number — CHANDRA K SHAN O.D.

NPI Number: 1447663646
Health Care Provider/Practitioner: CHANDRA K SHAN O.D.

Information about “1447663646” NPI (CHANDRA K SHAN O.D.) exists in 1447663646 in HTML format HTML  |  1447663646 in plain Text format TXT  |  1447663646 in PDF (Portable Document Format) PDF  |  1447663646 in an XML format XML  formats.

NPI Number : 1447663646 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447663646",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAN",
    "FirstName": "CHANDRA",
    "MiddleName": "K",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KAWEWAT",
    "OtherFirstName": "CHANDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13652 CANTARA ST",
    "SecondLineMailingAddress": "NORTH 2, OPTOMETRY DEPARTMENT",
    "MailingAddressCityName": "PANORAMA CITY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91402-5423",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13652 CANTARA ST",
    "SecondLinePracticeLocationAddress": "NORTH 2, OPTOMETRY DEPARTMENT",
    "PracticeLocationAddressCityName": "PANORAMA CITY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91402-5423",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-375-3672",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/04/2014",
    "LastUpdateDate": "07/28/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "14945",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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