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1457343949 NPI number — LALITHA GURIJALA MD037420-L

NPI Number: 1457343949
Health Care Provider/Practitioner: LALITHA GURIJALA MD037420-L

Information about “1457343949” NPI (LALITHA GURIJALA MD037420-L) exists in 1457343949 in HTML format HTML  |  1457343949 in plain Text format TXT  |  1457343949 in PDF (Portable Document Format) PDF  |  1457343949 in an XML format XML  formats.

NPI Number : 1457343949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457343949",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GURIJALA",
    "FirstName": "LALITHA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD037420-L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1098 W. BALTIMORE PIKE",
    "SecondLineMailingAddress": "OP PAVILION, SUITE 3311",
    "MailingAddressCityName": "MEDIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19063",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-892-9982",
    "MailingAddressFaxNumber": "610-565-1425",
    "FirstLinePracticeLocationAddress": "1098 W. BALTIMORE PIKE",
    "SecondLinePracticeLocationAddress": "OP PAVILION, SUITE 3311",
    "PracticeLocationAddressCityName": "MEDIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19063",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-892-9982",
    "PracticeLocationAddressFaxNumber": "610-565-1425",
    "EnumerationDate": "08/19/2005",
    "LastUpdateDate": "07/30/2014",
    "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": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "MD037420-L",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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