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1801976923 NPI number — RANMALI KALYANI WALALIYADDA PAC

NPI Number: 1801976923
Health Care Provider/Practitioner: RANMALI KALYANI WALALIYADDA PAC

Information about “1801976923” NPI (RANMALI KALYANI WALALIYADDA PAC) exists in 1801976923 in HTML format HTML  |  1801976923 in plain Text format TXT  |  1801976923 in PDF (Portable Document Format) PDF  |  1801976923 in an XML format XML  formats.

NPI Number : 1801976923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801976923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALALIYADDA",
    "FirstName": "RANMALI",
    "MiddleName": "KALYANI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1448 E CENTER ST",
    "SecondLineMailingAddress": "SUITE E",
    "MailingAddressCityName": "POCATELLO",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83201-4132",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-234-1300",
    "MailingAddressFaxNumber": "208-234-1333",
    "FirstLinePracticeLocationAddress": "1448 E CENTER ST",
    "SecondLinePracticeLocationAddress": "SUITE E",
    "PracticeLocationAddressCityName": "POCATELLO",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83201-4132",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-234-1300",
    "PracticeLocationAddressFaxNumber": "208-234-1333",
    "EnumerationDate": "10/16/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA-624",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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