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1619816147 NPI number — GHADEER A BAVANI

NPI Number: 1619816147
Health Care Provider/Practitioner: GHADEER A BAVANI

Information about “1619816147” NPI (GHADEER A BAVANI) exists in 1619816147 in HTML format HTML  |  1619816147 in plain Text format TXT  |  1619816147 in PDF (Portable Document Format) PDF  |  1619816147 in an XML format XML  formats.

NPI Number : 1619816147 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619816147",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAVANI",
    "FirstName": "GHADEER",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "A JASIM",
    "OtherFirstName": "GHADEER",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3935 CORNELL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEARBORN HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48125-2105",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-849-1770",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3935 CORNELL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEARBORN HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48125-2105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-849-1770",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2026",
    "LastUpdateDate": "03/27/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3747P1801X",
        "TaxonomyName": "Personal Care Attendant",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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