{
"Npi": {
"NPI": "1548235674",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PASUPULETI",
"FirstName": "RAMARAO",
"MiddleName": "VENKATA",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "440 HIGH STREET",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "BOWLING GREEN",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42101-1745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "270-282-7116",
"MailingAddressFaxNumber": "270-282-7121",
"FirstLinePracticeLocationAddress": "440 HIGH ST",
"SecondLinePracticeLocationAddress": "STE B",
"PracticeLocationAddressCityName": "BOWLING GREEN",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42101-1745",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-282-7116",
"PracticeLocationAddressFaxNumber": "270-282-7121",
"EnumerationDate": "02/22/2006",
"LastUpdateDate": "09/24/2013",
"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": "208VP0014X",
"TaxonomyName": "Interventional Pain Medicine Physician",
"LicenseNumber": "45502",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208VP0014X",
"TaxonomyName": "Interventional Pain Medicine Physician",
"LicenseNumber": "37636",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}