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1477786598 NPI number — FAWAZ AHMAD MD, MS

NPI Number: 1477786598
Health Care Provider/Practitioner: FAWAZ AHMAD MD, MS

Information about “1477786598” NPI (FAWAZ AHMAD MD, MS) exists in 1477786598 in HTML format HTML  |  1477786598 in plain Text format TXT  |  1477786598 in PDF (Portable Document Format) PDF  |  1477786598 in an XML format XML  formats.

NPI Number : 1477786598 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477786598",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AHMAD",
    "FirstName": "FAWAZ",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4201 W MEDICAL CENTER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCHENRY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60050-8409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-759-4530",
    "MailingAddressFaxNumber": "815-759-8053",
    "FirstLinePracticeLocationAddress": "747 BROADWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98122-4379",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-215-2520",
    "PracticeLocationAddressFaxNumber": "206-215-6364",
    "EnumerationDate": "08/24/2009",
    "LastUpdateDate": "07/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RC0200X",
          "TaxonomyName": "Critical Care Medicine (Internal Medicine) Physician",
          "LicenseNumber": "036130260",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD61218892",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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