{
"Npi": {
"NPI": "1568792752",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RABBANI",
"FirstName": "SHEHRZAD",
"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": "601 E MAIN ST STE 101",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAHOMET",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61853-7460",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-359-6019",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "36923 SCHOOLCRAFT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIVONIA",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48150-1162",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-359-6001",
"PracticeLocationAddressFaxNumber": "913-359-5552",
"EnumerationDate": "01/11/2010",
"LastUpdateDate": "01/08/2021",
"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": "2085R0202X",
"TaxonomyName": "Diagnostic Radiology Physician",
"LicenseNumber": "4301086187",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}