{
"Npi": {
"NPI": "1245163773",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DABABO",
"FirstName": "MOHAMMED ANAS",
"MiddleName": null,
"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": "PO BOX 781687",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN ANTONIO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78278-1687",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "469-740-7910",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTRE",
"SecondLinePracticeLocationAddress": "DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE",
"PracticeLocationAddressCityName": "RIYADH",
"PracticeLocationAddressStateName": "RIYADH PROVINCE",
"PracticeLocationAddressPostalCode": "11211",
"PracticeLocationAddressCountryCode": "SA",
"PracticeLocationAddressTelephoneNumber": null,
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/04/2026",
"LastUpdateDate": "06/04/2026",
"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": "207ZN0500X",
"TaxonomyName": "Neuropathology Physician",
"LicenseNumber": "V3580",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207ZP0101X",
"TaxonomyName": "Anatomic Pathology Physician",
"LicenseNumber": "V3580",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}