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1568154771 NPI number — KAREEM MOHAMED ABDELGHANY IV

NPI Number: 1568154771
Health Care Provider/Practitioner: KAREEM MOHAMED ABDELGHANY IV

Information about “1568154771” NPI (KAREEM MOHAMED ABDELGHANY IV) exists in 1568154771 in HTML format HTML  |  1568154771 in plain Text format TXT  |  1568154771 in PDF (Portable Document Format) PDF  |  1568154771 in an XML format XML  formats.

NPI Number : 1568154771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568154771",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABDELGHANY",
    "FirstName": "KAREEM",
    "MiddleName": "MOHAMED",
    "NamePrefix": null,
    "NameSuffix": "IV",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1001 W PARK BLVD APT 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75075-2662",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-961-9938",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1001 W PARK BLVD APT 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75075-2662",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-961-9938",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/25/2023",
    "LastUpdateDate": "05/25/2023",
    "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": "156FC0801X",
          "TaxonomyName": "Contact Lens Fitter",
          "LicenseNumber": "247662",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "156FX1800X",
          "TaxonomyName": "Optician",
          "LicenseNumber": "247662",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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