{"npi":"1699892059","type":"NPI-1","status":"active","name":{"display":"Dr. Koushik Nag DO","other":[],"first":"KOUSHIK","last":"NAG","credential":"DO"},"specialty":{"primary_taxonomy":"207RI0011X","primary_taxonomy_description":"Interventional Cardiology","slug":"interventional-cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RI0011X","description":"Interventional Cardiology","primary":true,"state":"AZ","license":"005149"}]},"addresses":[{"purpose":"LOCATION","street_1":"10815 W MCDOWELL RD","city":"AVONDALE","state":"AZ","postal_code":"853925007","country_code":"US","street_2":"SUITE 202","phone":"6234330202","fax":"6234330204"},{"purpose":"MAILING","street_1":"3815 E BELL RD STE 4500","city":"PHOENIX","state":"AZ","postal_code":"850322171","country_code":"US","phone":"6026333848","fax":"6026333841"}],"license":{"state":"AZ","number":"005149"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"441542","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090911000045","type_code":"14-06","type_desc":"PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)","state":"AZ","pac_id":"4981759107"}]},"enumeration_date":"2007-03-23","last_updated":"2024-08-05","_meta":{"source":"NPPES","snapshot_date":"2024-08-05","doc_url":"https://findmynpi.com/api"}}