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1881896553 NPI number — JOANNA ETHEL TAHSIO SHAW-KAIKAI MD

NPI Number: 1881896553
Health Care Provider/Practitioner: JOANNA ETHEL TAHSIO SHAW-KAIKAI MD

Information about “1881896553” NPI (JOANNA ETHEL TAHSIO SHAW-KAIKAI MD) exists in 1881896553 in HTML format HTML  |  1881896553 in plain Text format TXT  |  1881896553 in PDF (Portable Document Format) PDF  |  1881896553 in an XML format XML  formats.

NPI Number : 1881896553 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881896553",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHAW-KAIKAI",
    "FirstName": "JOANNA",
    "MiddleName": "ETHEL TAHSIO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHAW",
    "OtherFirstName": "JOANNA",
    "OtherMiddleName": "ETHEL TAHSIO",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2500 CHARLOTTE AVE",
    "SecondLineMailingAddress": "TB ELIMINATION",
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37209-4129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-340-5650",
    "MailingAddressFaxNumber": "615-340-8973",
    "FirstLinePracticeLocationAddress": "2500 CHARLOTTE AVE",
    "SecondLinePracticeLocationAddress": "TB ELIMINATION",
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37209-4129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-340-5650",
    "PracticeLocationAddressFaxNumber": "615-340-8973",
    "EnumerationDate": "06/04/2007",
    "LastUpdateDate": "06/17/2016",
    "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": "207RI0200X",
          "TaxonomyName": "Infectious Disease Physician",
          "LicenseNumber": "M0000044802",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "M0000044802",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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