1992940977 NPI number — PARISHRAM BIPINCHANDRA PATEL M.B.B.S.

NPI Number: 1992940977
Health Care Provider/Practitioner: PARISHRAM BIPINCHANDRA PATEL M.B.B.S.

NPI Number : 1992940977 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992940977",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PATEL",
    "FirstName": "PARISHRAM",
    "MiddleName": "BIPINCHANDRA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.B.B.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PATEL PARISHRAM",
    "OtherFirstName": "BIPINCHANDRA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.B.B.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8260 ATLEE RD",
    "SecondLineMailingAddress": "SUITE 3031",
    "MailingAddressCityName": "MECHANICSVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23116-1844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-764-7965",
    "MailingAddressFaxNumber": "804-764-7969",
    "FirstLinePracticeLocationAddress": "8260 ATLEE RD",
    "SecondLinePracticeLocationAddress": "SUITE 3031",
    "PracticeLocationAddressCityName": "MECHANICSVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23116-1844",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-764-7965",
    "PracticeLocationAddressFaxNumber": "804-764-7969",
    "EnumerationDate": "12/04/2008",
    "LastUpdateDate": "03/17/2017",
    "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": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "0101249443",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "0101249443",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}