NPI Code Detail JSON Logo

1902628035 NPI number — SEYED ALIPASHA RASSOULI MD, FRCSC, FACS

NPI Number: 1902628035
Health Care Provider/Practitioner: SEYED ALIPASHA RASSOULI MD, FRCSC, FACS

Information about “1902628035” NPI (SEYED ALIPASHA RASSOULI MD, FRCSC, FACS) exists in 1902628035 in HTML format HTML  |  1902628035 in plain Text format TXT  |  1902628035 in PDF (Portable Document Format) PDF  |  1902628035 in an XML format XML  formats.

NPI Number : 1902628035 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902628035",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RASSOULI",
    "FirstName": "SEYED",
    "MiddleName": "ALIPASHA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD, FRCSC, FACS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "403 PARKVIEW AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH YORK",
    "MailingAddressStateName": "ONTARIO",
    "MailingAddressPostalCode": "N4K 6L5",
    "MailingAddressCountryCode": "CA",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1979 16TH STREET EAST",
    "SecondLinePracticeLocationAddress": "UNIT #E3",
    "PracticeLocationAddressCityName": "OWEN SOUND",
    "PracticeLocationAddressStateName": "ONTARIO",
    "PracticeLocationAddressPostalCode": "N4K  5N3",
    "PracticeLocationAddressCountryCode": "CA",
    "PracticeLocationAddressTelephoneNumber": "226-909-3590",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2024",
    "LastUpdateDate": "10/29/2024",
    "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": "207YS0123X",
          "TaxonomyName": "Facial Plastic Surgery Physician",
          "LicenseNumber": "278965",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207YS0123X",
          "TaxonomyName": "Facial Plastic Surgery Physician",
          "LicenseNumber": "ME171032",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "MD445873",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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