NPI Code Detail JSON Logo

1952545238 NPI number — ABIDA IRSHAD M.D.

NPI Number: 1952545238
Health Care Provider/Practitioner: ABIDA IRSHAD M.D.

Information about “1952545238” NPI (ABIDA IRSHAD M.D.) exists in 1952545238 in HTML format HTML  |  1952545238 in plain Text format TXT  |  1952545238 in PDF (Portable Document Format) PDF  |  1952545238 in an XML format XML  formats.

NPI Number : 1952545238 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952545238",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IRSHAD",
    "FirstName": "ABIDA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "35318 EAGLE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60678-0353",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-528-4800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4440 W 95TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK LAWN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60453-2600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-684-0000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/30/2009",
    "LastUpdateDate": "03/15/2021",
    "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": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "036-130257",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "036130257",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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