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1548205792 NPI number — BHOGENDRA KHANAL MD

NPI Number: 1548205792
Health Care Provider/Practitioner: BHOGENDRA KHANAL MD

Information about “1548205792” NPI (BHOGENDRA KHANAL MD) exists in 1548205792 in HTML format HTML  |  1548205792 in plain Text format TXT  |  1548205792 in PDF (Portable Document Format) PDF  |  1548205792 in an XML format XML  formats.

NPI Number : 1548205792 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548205792",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KHANAL",
    "FirstName": "BHOGENDRA",
    "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": "5700 LAKE WORTH RD",
    "SecondLineMailingAddress": "#204",
    "MailingAddressCityName": "GREENACRES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33463-4727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-968-7968",
    "MailingAddressFaxNumber": "561-964-4603",
    "FirstLinePracticeLocationAddress": "1490 FOREST HILL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST PALM BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33406-6014",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-967-5350",
    "PracticeLocationAddressFaxNumber": "561-967-9224",
    "EnumerationDate": "06/19/2006",
    "LastUpdateDate": "10/03/2007",
    "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": "ME44180",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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