{
"Npi": {
"NPI": "1407088511",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALABBAS",
"FirstName": "HAYTHAM",
"MiddleName": "HISHAM",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD, MSC, FRCSC, FACS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "KING FAISAL SPECIALISTS HOSPITAL AND RESEARCH CENTER",
"SecondLineMailingAddress": "AR RADWAH DISTRIC",
"MailingAddressCityName": "JEDDAH",
"MailingAddressStateName": "MAKKAH",
"MailingAddressPostalCode": "23214",
"MailingAddressCountryCode": "SA",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "PRINCE SAUD AL FAISAL, AR RAWDAH",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JEDDAH",
"PracticeLocationAddressStateName": "MAKKAH",
"PracticeLocationAddressPostalCode": "23433",
"PracticeLocationAddressCountryCode": "SA",
"PracticeLocationAddressTelephoneNumber": "966-126-6777",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/23/2009",
"LastUpdateDate": "07/25/2023",
"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": "390200000X",
"TaxonomyName": "Student in an Organized Health Care Education/Training Program",
"LicenseNumber": "242001",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208600000X",
"TaxonomyName": "Surgery Physician",
"LicenseNumber": "129666",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}