{
"Npi": {
"NPI": "1417692849",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DABBAIN",
"FirstName": "NADERA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6780 MAYFIELD RD STE 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAYFIELD HEIGHTS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44124-2203",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-312-6017",
"MailingAddressFaxNumber": "313-789-1665",
"FirstLinePracticeLocationAddress": "6780 MAYFIELD RD STE 400",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAYFIELD HEIGHTS",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44124-2203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-312-6017",
"PracticeLocationAddressFaxNumber": "313-789-1665",
"EnumerationDate": "04/29/2022",
"LastUpdateDate": "09/23/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "208M00000X",
"TaxonomyName": "Hospitalist Physician",
"LicenseNumber": "34.017944",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "207R00000X",
"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "34.017944",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}