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1588766455 NPI number — MANUCHEHR M DARANI M.D.

NPI Number: 1588766455
Health Care Provider/Practitioner: MANUCHEHR M DARANI M.D.

Information about “1588766455” NPI (MANUCHEHR M DARANI M.D.) exists in 1588766455 in HTML format HTML  |  1588766455 in plain Text format TXT  |  1588766455 in PDF (Portable Document Format) PDF  |  1588766455 in an XML format XML  formats.

NPI Number : 1588766455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588766455",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DARANI",
    "FirstName": "MANUCHEHR",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DARANI",
    "OtherFirstName": "MANUCHEHR",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 11593",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWPORT BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92658-5035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-957-2738",
    "MailingAddressFaxNumber": "714-957-1758",
    "FirstLinePracticeLocationAddress": "3620 S BRISTOL ST",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92704-7300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-957-2738",
    "PracticeLocationAddressFaxNumber": "714-957-1758",
    "EnumerationDate": "09/02/2006",
    "LastUpdateDate": "12/21/2012",
    "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": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": "A29675",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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