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1881648038 NPI number — VALLA DJAFARI M.D.

NPI Number: 1881648038
Health Care Provider/Practitioner: VALLA DJAFARI M.D.

Information about “1881648038” NPI (VALLA DJAFARI M.D.) exists in 1881648038 in HTML format HTML  |  1881648038 in plain Text format TXT  |  1881648038 in PDF (Portable Document Format) PDF  |  1881648038 in an XML format XML  formats.

NPI Number : 1881648038 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881648038",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DJAFARI",
    "FirstName": "VALLA",
    "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": "4010 SANDY BROOK DR",
    "SecondLineMailingAddress": "SUITE 105",
    "MailingAddressCityName": "ROUND ROCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78665-1516",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-651-2201",
    "MailingAddressFaxNumber": "512-651-2207",
    "FirstLinePracticeLocationAddress": "4010 SANDY BROOK DR",
    "SecondLinePracticeLocationAddress": "SUITE 105",
    "PracticeLocationAddressCityName": "ROUND ROCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78665-1516",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-651-2201",
    "PracticeLocationAddressFaxNumber": "512-651-2207",
    "EnumerationDate": "05/20/2006",
    "LastUpdateDate": "03/27/2017",
    "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": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "0101237522",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "D0062707",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "M9977",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207WX0107X",
          "TaxonomyName": "Retina Specialist (Ophthalmology) Physician",
          "LicenseNumber": "M9977",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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