Zabaneh Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

01048715 Issued in IN

Legal business name

ZABANEH MEDICAL CORPORATION

Practice address

1644 45TH Ave
Munster, IN 46321-3970

Phone

(219) 836-1135

Fax

(219) 836-1157

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ibrahim Samir Zabaneh, M.D.

Title

President

Phone

(219) 836-1135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MUNSTER OB GYN CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1154440378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213970",
            "telephone_number": "219-836-1135",
            "fax_number": "219-836-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213970",
            "telephone_number": "219-836-1135",
            "fax_number": "219-836-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZABANEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "ZABANEH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01048715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "M100016623",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUNSTER OB GYN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Young, PA (ASCP)
• Steven Daniel Young, MAT, LAT, ATC
• Karen Younghale, D.O.
• William V Yount, MD
• Ibraheem Fares Mohammad Yousef, MD
• Ibrahim Samir Zabaneh, M.D.
• Briana Zabierek, PT, DPT
• Anita Mary Zachariah, MD
• Sitwat Zainab
• Andrej Zajac, M.D.

• All providers in Munster, IN
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.