NPI Code Detail JSON Logo

1679708374 NPI number — HENRY CHRISTIAN QUEVEDO DIAZ M.D.

NPI Number: 1679708374
Health Care Provider/Practitioner: HENRY CHRISTIAN QUEVEDO DIAZ M.D.

Information about “1679708374” NPI (HENRY CHRISTIAN QUEVEDO DIAZ M.D.) exists in 1679708374 in HTML format HTML  |  1679708374 in plain Text format TXT  |  1679708374 in PDF (Portable Document Format) PDF  |  1679708374 in an XML format XML  formats.

NPI Number : 1679708374 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679708374",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "QUEVEDO DIAZ",
    "FirstName": "HENRY",
    "MiddleName": "CHRISTIAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "QUEVEDO",
    "OtherFirstName": "HENRY",
    "OtherMiddleName": "CHRISTIAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "601 MEMORY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YORK",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17402-2231",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-851-1405",
    "MailingAddressFaxNumber": "717-851-6969",
    "FirstLinePracticeLocationAddress": "12 ST PAUL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHAMBERSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17201-1035",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-217-6886",
    "PracticeLocationAddressFaxNumber": "717-217-6896",
    "EnumerationDate": "05/25/2009",
    "LastUpdateDate": "04/08/2025",
    "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": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "MD.205735",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "DR.0072323",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "MD466350",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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