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1942995980 NPI number — ALEKSANDRA BULAEVA M.D.

NPI Number: 1942995980
Health Care Provider/Practitioner: ALEKSANDRA BULAEVA M.D.

Information about “1942995980” NPI (ALEKSANDRA BULAEVA M.D.) exists in 1942995980 in HTML format HTML  |  1942995980 in plain Text format TXT  |  1942995980 in PDF (Portable Document Format) PDF  |  1942995980 in an XML format XML  formats.

NPI Number : 1942995980 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942995980",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BULAEVA",
    "FirstName": "ALEKSANDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KISELEVA",
    "OtherFirstName": "ALEKSANDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6 ROSHEHINSKY PREEZD, 1-21",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOSCOW",
    "MailingAddressStateName": "RUSSIA",
    "MailingAddressPostalCode": "115191",
    "MailingAddressCountryCode": "RU",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "825 FAIRFAX AVENUE, HOFHEIMER HALL, 4TH FLOOR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORFOLK",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-446-8912",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2023",
    "LastUpdateDate": "11/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/09/2023",
    "NPIReactivationDate": "11/21/2023",
    "GenderCode": "F",
    "Gender": "Female",
    "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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