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1598965782 NPI number — AHMAD AL-SABBAGH MD

NPI Number: 1598965782
Health Care Provider/Practitioner: AHMAD AL-SABBAGH MD

Information about “1598965782” NPI (AHMAD AL-SABBAGH MD) exists in 1598965782 in HTML format HTML  |  1598965782 in plain Text format TXT  |  1598965782 in PDF (Portable Document Format) PDF  |  1598965782 in an XML format XML  formats.

NPI Number : 1598965782 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598965782",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AL-SABBAGH",
    "FirstName": "AHMAD",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "27681 MILANO WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSION VIEJO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92692-4139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-842-5590",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2110 RUTHERFORD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARLSBAD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92008-7328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-431-6154",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/25/2007",
    "LastUpdateDate": "08/11/2009",
    "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": "207ZP0102X",
          "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
          "LicenseNumber": "4301090350",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ZP0102X",
          "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
          "LicenseNumber": "A 108482",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207ZB0001X",
          "TaxonomyName": "Blood Banking & Transfusion Medicine Physician",
          "LicenseNumber": "4301090350",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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