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1811690035 NPI number — PETER NADY ISHAK GEORGEI

NPI Number: 1811690035
Health Care Provider/Practitioner: PETER NADY ISHAK GEORGEI

Information about “1811690035” NPI (PETER NADY ISHAK GEORGEI) exists in 1811690035 in HTML format HTML  |  1811690035 in plain Text format TXT  |  1811690035 in PDF (Portable Document Format) PDF  |  1811690035 in an XML format XML  formats.

NPI Number : 1811690035 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811690035",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GEORGEI",
    "FirstName": "PETER",
    "MiddleName": "NADY ISHAK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "529 SOUTHWESTERN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKWALL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75087-8418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-240-8590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3802 CEDAR SPRINGS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75219-4149",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-443-5160",
    "PracticeLocationAddressFaxNumber": "214-443-0741",
    "EnumerationDate": "03/27/2023",
    "LastUpdateDate": "03/08/2024",
    "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": "43550",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "73768",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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