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1467552729 NPI number — MARVIN CHADAB MD PA

NPI Number: 1467552729
Health Care Provider/Practitioner: MARVIN CHADAB MD PA

Information about “1467552729” NPI (MARVIN CHADAB MD PA) exists in 1467552729 in HTML format HTML  |  1467552729 in plain Text format TXT  |  1467552729 in PDF (Portable Document Format) PDF  |  1467552729 in an XML format XML  formats.

NPI Number : 1467552729 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467552729",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARVIN CHADAB MD PA",
    "LastName": null,
    "FirstName": null,
    "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": "6130 OXON HILL RD",
    "SecondLineMailingAddress": "SUITE 201",
    "MailingAddressCityName": "OXON HILL",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20745-3168",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-567-2774",
    "MailingAddressFaxNumber": "301-567-4498",
    "FirstLinePracticeLocationAddress": "6130 OXON HILL RD",
    "SecondLinePracticeLocationAddress": "SUITE 201",
    "PracticeLocationAddressCityName": "OXON HILL",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20745-3168",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-567-2774",
    "PracticeLocationAddressFaxNumber": "301-567-4498",
    "EnumerationDate": "09/25/2006",
    "LastUpdateDate": "11/01/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHADAB",
    "AuthorizedOfficialFirstName": "MARVIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "301-567-2774",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "0101028798",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "D0020477",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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