NPI Code Detail JSON Logo

1497967194 NPI number — HAZEM EDMOND EL-OSTA MD

NPI Number: 1497967194
Health Care Provider/Practitioner: HAZEM EDMOND EL-OSTA MD

Information about “1497967194” NPI (HAZEM EDMOND EL-OSTA MD) exists in 1497967194 in HTML format HTML  |  1497967194 in plain Text format TXT  |  1497967194 in PDF (Portable Document Format) PDF  |  1497967194 in an XML format XML  formats.

NPI Number : 1497967194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497967194",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EL-OSTA",
    "FirstName": "HAZEM",
    "MiddleName": "EDMOND",
    "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": "6410 FANNIN ST",
    "SecondLineMailingAddress": "SUITE 830",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77030-3000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-325-7702",
    "MailingAddressFaxNumber": "713-512-7132",
    "FirstLinePracticeLocationAddress": "6400 FANNIN ST",
    "SecondLinePracticeLocationAddress": "SUITE 2900",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77030-1521",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-325-7702",
    "PracticeLocationAddressFaxNumber": "713-512-7132",
    "EnumerationDate": "05/04/2007",
    "LastUpdateDate": "01/23/2017",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "MD.203644",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "MD.203644",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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