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1629132956 NPI number — LENA N NAFFAA M.D.

NPI Number: 1629132956
Health Care Provider/Practitioner: LENA N NAFFAA M.D.

Information about “1629132956” NPI (LENA N NAFFAA M.D.) exists in 1629132956 in HTML format HTML  |  1629132956 in plain Text format TXT  |  1629132956 in PDF (Portable Document Format) PDF  |  1629132956 in an XML format XML  formats.

NPI Number : 1629132956 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629132956",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NAFFAA",
    "FirstName": "LENA",
    "MiddleName": "N",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6201 GREENLEIGH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLE RIVER",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21220-2004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-955-0000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4940 EASTERN AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21224-2735",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-550-5568",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/21/2006",
    "LastUpdateDate": "05/13/2025",
    "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": "2085P0229X",
          "TaxonomyName": "Pediatric Radiology Physician",
          "LicenseNumber": "ME144217",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085P0229X",
          "TaxonomyName": "Pediatric Radiology Physician",
          "LicenseNumber": "D0103652",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085P0229X",
          "TaxonomyName": "Pediatric Radiology Physician",
          "LicenseNumber": "35-086876",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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