NPI Code Detail JSON Logo

1619268232 NPI number — MICHAEL ANWAR GHATTAS RPH

NPI Number: 1619268232
Health Care Provider/Practitioner: MICHAEL ANWAR GHATTAS RPH

Information about “1619268232” NPI (MICHAEL ANWAR GHATTAS RPH) exists in 1619268232 in HTML format HTML  |  1619268232 in plain Text format TXT  |  1619268232 in PDF (Portable Document Format) PDF  |  1619268232 in an XML format XML  formats.

NPI Number : 1619268232 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619268232",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GHATTAS",
    "FirstName": "MICHAEL",
    "MiddleName": "ANWAR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1840 TAPPAHANNOCK BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAPPAHANNOCK",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22560-9350",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-443-4709",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1840 TAPPAHANNOCK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAPPAHANNOCK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22560-9350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-443-4709",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/29/2011",
    "LastUpdateDate": "04/19/2021",
    "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": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "0202208232",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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