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1851619894 NPI number — MRIDULA RAI MD

NPI Number: 1851619894
Health Care Provider/Practitioner: MRIDULA RAI MD

Information about “1851619894” NPI (MRIDULA RAI MD) exists in 1851619894 in HTML format HTML  |  1851619894 in plain Text format TXT  |  1851619894 in PDF (Portable Document Format) PDF  |  1851619894 in an XML format XML  formats.

NPI Number : 1851619894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851619894",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAI",
    "FirstName": "MRIDULA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "502 ELM ST NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALBUQUERQUE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87102-2512",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-841-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "502 ELM ST NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALBUQUERQUE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-841-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/15/2010",
    "LastUpdateDate": "03/19/2019",
    "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": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "MD2016-0323",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "054061",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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