NPI Code Detail JSON Logo

1982688396 NPI number — SETHU NMN KRISHNAN MD

NPI Number: 1982688396
Health Care Provider/Practitioner: SETHU NMN KRISHNAN MD

Information about “1982688396” NPI (SETHU NMN KRISHNAN MD) exists in 1982688396 in HTML format HTML  |  1982688396 in plain Text format TXT  |  1982688396 in PDF (Portable Document Format) PDF  |  1982688396 in an XML format XML  formats.

NPI Number : 1982688396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982688396",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRISHNAN",
    "FirstName": "SETHU",
    "MiddleName": "NMN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1818 RICHARDSON DR STE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "REIDSVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27320-5450",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-342-4791",
    "MailingAddressFaxNumber": "336-634-0790",
    "FirstLinePracticeLocationAddress": "1818 RICHARDSON DR STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "REIDSVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27320-5450",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-342-4791",
    "PracticeLocationAddressFaxNumber": "336-634-0790",
    "EnumerationDate": "11/30/2005",
    "LastUpdateDate": "08/16/2010",
    "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": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": "31382",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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