NPI Code Detail JSON Logo

1497029078 NPI number — RITU JAIN VISWANATH MD

NPI Number: 1497029078
Health Care Provider/Practitioner: RITU JAIN VISWANATH MD

Information about “1497029078” NPI (RITU JAIN VISWANATH MD) exists in 1497029078 in HTML format HTML  |  1497029078 in plain Text format TXT  |  1497029078 in PDF (Portable Document Format) PDF  |  1497029078 in an XML format XML  formats.

NPI Number : 1497029078 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497029078",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VISWANATH",
    "FirstName": "RITU",
    "MiddleName": "JAIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JAIN",
    "OtherFirstName": "RITU",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10573 W PICO BLVD # 822",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90064-2333",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-571-5015",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10573 W PICO BLVD # 822",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90064-2333",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-571-5015",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/29/2012",
    "LastUpdateDate": "08/17/2022",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "ME120655",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A125466",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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