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1508178088 NPI number — SARFARAZ A MANSURI MD

NPI Number: 1508178088
Health Care Provider/Practitioner: SARFARAZ A MANSURI MD

Information about “1508178088” NPI (SARFARAZ A MANSURI MD) exists in 1508178088 in HTML format HTML  |  1508178088 in plain Text format TXT  |  1508178088 in PDF (Portable Document Format) PDF  |  1508178088 in an XML format XML  formats.

NPI Number : 1508178088 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508178088",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANSURI",
    "FirstName": "SARFARAZ",
    "MiddleName": "A",
    "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": "13737 NOEL RD",
    "SecondLineMailingAddress": "STE 1600",
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75240-1374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-712-2728",
    "MailingAddressFaxNumber": "866-581-1184",
    "FirstLinePracticeLocationAddress": "1010 MURRAY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN LUIS OBISPO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93405-1806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-546-7600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2010",
    "LastUpdateDate": "09/22/2020",
    "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": "A132746",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "A132746",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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