{
"Npi": {
"NPI": "1811136682",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CHAUDHRY CLINIC LLC",
"ParentOrgTIN": null,
"OrgName": "CHAUDHRY CLINIC LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O.BOX 1470",
"SecondLineMailingAddress": "11809 HWY. 84 W.",
"MailingAddressCityName": "JENA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71342",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "318-992-4133",
"MailingAddressFaxNumber": "318-992-4134",
"FirstLinePracticeLocationAddress": "11809 HWY 84 W.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JENA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71342",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-992-4133",
"PracticeLocationAddressFaxNumber": "318-992-4134",
"EnumerationDate": "02/18/2009",
"LastUpdateDate": "01/11/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHAUDHRY",
"AuthorizedOfficialFirstName": "RIAZ",
"AuthorizedOfficialMiddleName": "M.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "318-992-4133",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "3939R",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}