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1730534033 NPI number — MILI GANDHI MPT

NPI Number: 1730534033
Health Care Provider/Practitioner: MILI GANDHI MPT

Information about “1730534033” NPI (MILI GANDHI MPT) exists in 1730534033 in HTML format HTML  |  1730534033 in plain Text format TXT  |  1730534033 in PDF (Portable Document Format) PDF  |  1730534033 in an XML format XML  formats.

NPI Number : 1730534033 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730534033",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GANDHI",
    "FirstName": "MILI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ASHOK LAPSIWALA",
    "OtherFirstName": "MILI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 3497",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STURTEVANT",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53177-0300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "877-552-2996",
    "MailingAddressFaxNumber": "866-245-8064",
    "FirstLinePracticeLocationAddress": "2525 S TELEGRAPH RD",
    "SecondLinePracticeLocationAddress": "SUITE 314",
    "PracticeLocationAddressCityName": "BLOOMFIELD HILLS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48302-0286",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-499-6441",
    "PracticeLocationAddressFaxNumber": "248-977-3751",
    "EnumerationDate": "04/25/2016",
    "LastUpdateDate": "05/09/2016",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "5501012131",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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