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1538297270 NPI number — JADD WADI KOURY MD

NPI Number: 1538297270
Health Care Provider/Practitioner: JADD WADI KOURY MD

Information about “1538297270” NPI (JADD WADI KOURY MD) exists in 1538297270 in HTML format HTML  |  1538297270 in plain Text format TXT  |  1538297270 in PDF (Portable Document Format) PDF  |  1538297270 in an XML format XML  formats.

NPI Number : 1538297270 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538297270",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOURY",
    "FirstName": "JADD",
    "MiddleName": "WADI",
    "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": "3907 N FRONT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17110-1536",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-232-4567",
    "MailingAddressFaxNumber": "717-232-8152",
    "FirstLinePracticeLocationAddress": "3907 N FRONT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17110-1536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-232-4567",
    "PracticeLocationAddressFaxNumber": "717-232-8152",
    "EnumerationDate": "03/02/2007",
    "LastUpdateDate": "08/26/2022",
    "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": "208600000X",
          "TaxonomyName": "Surgery Physician",
          "LicenseNumber": "MD036495",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "25MA07859100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208C00000X",
          "TaxonomyName": "Colon & Rectal Surgery Physician",
          "LicenseNumber": "MD438866",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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