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1518953926 NPI number — MAHDIEH HAJI AMOU ASSAR MD

NPI Number: 1518953926
Health Care Provider/Practitioner: MAHDIEH HAJI AMOU ASSAR MD

Information about “1518953926” NPI (MAHDIEH HAJI AMOU ASSAR MD) exists in 1518953926 in HTML format HTML  |  1518953926 in plain Text format TXT  |  1518953926 in PDF (Portable Document Format) PDF  |  1518953926 in an XML format XML  formats.

NPI Number : 1518953926 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518953926",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAJI AMOU ASSAR",
    "FirstName": "MAHDIEH",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ASSAR",
    "OtherFirstName": "MAHDIEH",
    "OtherMiddleName": "HA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3301 E CLAREMONT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PARADISE VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85253-3713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-954-0819",
    "MailingAddressFaxNumber": "602-271-5466",
    "FirstLinePracticeLocationAddress": "755 E MCDOWELL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85006-2506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-271-5207",
    "PracticeLocationAddressFaxNumber": "602-271-5466",
    "EnumerationDate": "09/21/2005",
    "LastUpdateDate": "07/09/2025",
    "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": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "036140693",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "32124",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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