NPI Code Detail JSON Logo

1487630604 NPI number — MAHMOUD W SALLAH MD

NPI Number: 1487630604
Health Care Provider/Practitioner: MAHMOUD W SALLAH MD

Information about “1487630604” NPI (MAHMOUD W SALLAH MD) exists in 1487630604 in HTML format HTML  |  1487630604 in plain Text format TXT  |  1487630604 in PDF (Portable Document Format) PDF  |  1487630604 in an XML format XML  formats.

NPI Number : 1487630604 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487630604",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SALLAH",
    "FirstName": "MAHMOUD",
    "MiddleName": "W",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14690 SPRING HILL DR STE 305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING HILL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34609-8102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-277-5348",
    "MailingAddressFaxNumber": "352-606-2857",
    "FirstLinePracticeLocationAddress": "1 HOSPITAL WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUTLER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16001-4760",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-995-0114",
    "PracticeLocationAddressFaxNumber": "724-284-7464",
    "EnumerationDate": "12/20/2005",
    "LastUpdateDate": "08/30/2022",
    "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": "207RI0200X",
          "TaxonomyName": "Infectious Disease Physician",
          "LicenseNumber": "ME76555",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0200X",
          "TaxonomyName": "Infectious Disease Physician",
          "LicenseNumber": "MD465450",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.