{
"Npi": {
"NPI": "1982843421",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANNU NARAYANAN PULLARKAT, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2188 AMBER MEADOWS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VIENNA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22182-5320",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-205-0423",
"MailingAddressFaxNumber": "703-992-6747",
"FirstLinePracticeLocationAddress": "2188 AMBER MEADOWS DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VIENNA",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22182-5320",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-205-0423",
"PracticeLocationAddressFaxNumber": "703-992-6747",
"EnumerationDate": "02/06/2009",
"LastUpdateDate": "04/05/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PULLARKAT",
"AuthorizedOfficialFirstName": "ANNU",
"AuthorizedOfficialMiddleName": "NARAYANAN",
"AuthorizedOfficialTitle": "M.B.B.S/M.D",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.B.B.S/M.D",
"AuthorizedOfficialTelephoneNumber": "703-205-0423",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "0101243831",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}