{
"Npi": {
"NPI": "1649101593",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SULAIMAN KHAN",
"FirstName": "MOHAMMED",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MBBS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "979 EAST THIRD ST, STACEY BLANKS",
"SecondLineMailingAddress": "SUITE B-810",
"MailingAddressCityName": "CHATIANOOGA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37403",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-778-3546",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "979 EAST THIRD ST, STACEY BLANKS",
"SecondLinePracticeLocationAddress": "SUITE B-810",
"PracticeLocationAddressCityName": "CHATIANOOGA",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37403",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-778-3546",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/28/2026",
"LastUpdateDate": "05/28/2026",
"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": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": null,
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}