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1639520497 NPI number — MUHAMMAD ABOLFOTOH KANDEL MD, PHD

NPI Number: 1639520497
Health Care Provider/Practitioner: MUHAMMAD ABOLFOTOH KANDEL MD, PHD

Information about “1639520497” NPI (MUHAMMAD ABOLFOTOH KANDEL MD, PHD) exists in 1639520497 in HTML format HTML  |  1639520497 in plain Text format TXT  |  1639520497 in PDF (Portable Document Format) PDF  |  1639520497 in an XML format XML  formats.

NPI Number : 1639520497 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639520497",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KANDEL",
    "FirstName": "MUHAMMAD",
    "MiddleName": "ABOLFOTOH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, PHD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOHAMAD",
    "OtherFirstName": "MOHAMAD",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD, PHD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5125 NORTHSHORE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72118-5315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-224-1690",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 MERCY LN STE 502",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOT SPRINGS",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "71913-6462",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-321-1329",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2016",
    "LastUpdateDate": "07/10/2025",
    "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": "207T00000X",
          "TaxonomyName": "Neurological Surgery Physician",
          "LicenseNumber": "R4309",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207T00000X",
          "TaxonomyName": "Neurological Surgery Physician",
          "LicenseNumber": "E19563",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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