NPI Code Detail JSON Logo

1578548343 NPI number — SHAHROKH S MOROVATI MD

NPI Number: 1578548343
Health Care Provider/Practitioner: SHAHROKH S MOROVATI MD

Information about “1578548343” NPI (SHAHROKH S MOROVATI MD) exists in 1578548343 in HTML format HTML  |  1578548343 in plain Text format TXT  |  1578548343 in PDF (Portable Document Format) PDF  |  1578548343 in an XML format XML  formats.

NPI Number : 1578548343 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578548343",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOROVATI",
    "FirstName": "SHAHROKH",
    "MiddleName": "S",
    "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": "324 EAST MAIN STREET",
    "SecondLineMailingAddress": "SUITE 204",
    "MailingAddressCityName": "NEWARK",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19711-7164",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-737-4990",
    "MailingAddressFaxNumber": "302-737-5082",
    "FirstLinePracticeLocationAddress": "324 EAST MAIN STREET",
    "SecondLinePracticeLocationAddress": "SUITE 204",
    "PracticeLocationAddressCityName": "NEWARK",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19711-7164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-737-4990",
    "PracticeLocationAddressFaxNumber": "302-737-5082",
    "EnumerationDate": "12/14/2005",
    "LastUpdateDate": "11/13/2012",
    "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": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": "C1 OD00733",
        "LicenseNumberStateCode": "DE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.