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1851913321 NPI number — HASSAM ALI M.D.

NPI Number: 1851913321
Health Care Provider/Practitioner: HASSAM ALI M.D.

Information about “1851913321” NPI (HASSAM ALI M.D.) exists in 1851913321 in HTML format HTML  |  1851913321 in plain Text format TXT  |  1851913321 in PDF (Portable Document Format) PDF  |  1851913321 in an XML format XML  formats.

NPI Number : 1851913321 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851913321",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALI",
    "FirstName": "HASSAM",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2100 STANTONSBURG RD",
    "SecondLineMailingAddress": "VIDANT MEDICAL CENTER",
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-744-4560",
    "MailingAddressFaxNumber": "252-744-2280",
    "FirstLinePracticeLocationAddress": "2100 STANTONSBURG RD",
    "SecondLinePracticeLocationAddress": "VIDANT MEDICAL CENTER",
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27834",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-744-4560",
    "PracticeLocationAddressFaxNumber": "252-744-2280",
    "EnumerationDate": "05/07/2020",
    "LastUpdateDate": "02/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "01/11/2022",
    "NPIReactivationDate": "02/21/2022",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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