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1467564484 NPI number — RAJNI K JUTLA MD

NPI Number: 1467564484
Health Care Provider/Practitioner: RAJNI K JUTLA MD

Information about “1467564484” NPI (RAJNI K JUTLA MD) exists in 1467564484 in HTML format HTML  |  1467564484 in plain Text format TXT  |  1467564484 in PDF (Portable Document Format) PDF  |  1467564484 in an XML format XML  formats.

NPI Number : 1467564484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467564484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JUTLA",
    "FirstName": "RAJNI",
    "MiddleName": "K",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JUTLA",
    "OtherFirstName": "RAJNINDER",
    "OtherMiddleName": "KAUR",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "6900 E GREENLAKE WAY N",
    "SecondLineMailingAddress": "STE J",
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98115-5480",
    "MailingAddressCountryCode": "UM",
    "MailingAddressTelephoneNumber": "206-957-7246",
    "MailingAddressFaxNumber": "206-957-6922",
    "FirstLinePracticeLocationAddress": "21701 76TH AVE W",
    "SecondLinePracticeLocationAddress": "STE 203",
    "PracticeLocationAddressCityName": "EDMONDS",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98026-7536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-744-2300",
    "PracticeLocationAddressFaxNumber": "425-744-2310",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "08/26/2015",
    "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": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "MD27622",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "MD00047987",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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