NPI Code Detail JSON Logo

1538578075 NPI number — MOHAMED ABDALAZIZ MD

NPI Number: 1538578075
Health Care Provider/Practitioner: MOHAMED ABDALAZIZ MD

Information about “1538578075” NPI (MOHAMED ABDALAZIZ MD) exists in 1538578075 in HTML format HTML  |  1538578075 in plain Text format TXT  |  1538578075 in PDF (Portable Document Format) PDF  |  1538578075 in an XML format XML  formats.

NPI Number : 1538578075 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538578075",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABDALAZIZ",
    "FirstName": "MOHAMED",
    "MiddleName": null,
    "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": "200 CORPORATE BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAFAYETTE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70508-3870",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-893-9698",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 CARONDELET DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KANSAS CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64114-4673",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "816-943-4758",
    "PracticeLocationAddressFaxNumber": "816-943-4757",
    "EnumerationDate": "08/08/2014",
    "LastUpdateDate": "09/13/2023",
    "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": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "2018009387",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "2018009387",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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