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1629155700 NPI number — CLARA CHINAEMEREM OSUJI MD

NPI Number: 1629155700
Health Care Provider/Practitioner: CLARA CHINAEMEREM OSUJI MD

Information about “1629155700” NPI (CLARA CHINAEMEREM OSUJI MD) exists in 1629155700 in HTML format HTML  |  1629155700 in plain Text format TXT  |  1629155700 in PDF (Portable Document Format) PDF  |  1629155700 in an XML format XML  formats.

NPI Number : 1629155700 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629155700",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSUJI",
    "FirstName": "CLARA",
    "MiddleName": "CHINAEMEREM",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MADU",
    "OtherFirstName": "CLARA",
    "OtherMiddleName": "OSUJI",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "16103 W LITTLE YORK RD STE C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77084-6867",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-859-7100",
    "MailingAddressFaxNumber": "281-859-7105",
    "FirstLinePracticeLocationAddress": "16103 W LITTLE YORK RD STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77084-6867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-859-7100",
    "PracticeLocationAddressFaxNumber": "281-859-7105",
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "08/19/2010",
    "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": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "M4315",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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