NPI Code Detail JSON Logo

1558776138 NPI number — IVANSHU NAVINPRAKASH JAIN MD

NPI Number: 1558776138
Health Care Provider/Practitioner: IVANSHU NAVINPRAKASH JAIN MD

Information about “1558776138” NPI (IVANSHU NAVINPRAKASH JAIN MD) exists in 1558776138 in HTML format HTML  |  1558776138 in plain Text format TXT  |  1558776138 in PDF (Portable Document Format) PDF  |  1558776138 in an XML format XML  formats.

NPI Number : 1558776138 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558776138",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAIN",
    "FirstName": "IVANSHU",
    "MiddleName": "NAVINPRAKASH",
    "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": "1200 E BRIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TERRELL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75160-2938",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-563-6452",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "TERRELL STATE HOSPITAL",
    "SecondLinePracticeLocationAddress": "1200 E BRIN ST",
    "PracticeLocationAddressCityName": "TERRELL",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75160",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-563-6452",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2014",
    "LastUpdateDate": "07/08/2019",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0802X",
          "TaxonomyName": "Addiction Psychiatry Physician",
          "LicenseNumber": "R7233",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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