{
"Npi": {
"NPI": "1285909481",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SALAH",
"FirstName": "AHMAD",
"MiddleName": "MUHAMMAD",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.O",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9331 S THOMAS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIDGEVIEW",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60455-2163",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-818-7550",
"MailingAddressFaxNumber": "855-820-7118",
"FirstLinePracticeLocationAddress": "118 E 90TH DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MERRILLVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46410-7160",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-736-2922",
"PracticeLocationAddressFaxNumber": "855-820-7118",
"EnumerationDate": "03/21/2012",
"LastUpdateDate": "10/28/2024",
"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": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "036.136451",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RR0500X",
"TaxonomyName": "Rheumatology Physician",
"LicenseNumber": "036.136451",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207RR0500X",
"TaxonomyName": "Rheumatology Physician",
"LicenseNumber": "02005095A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}