Individual provider Active NPI

Fatima Tarek Dabaja

  • Student in an Organized Health Care Education/Training Program
  • Canton, MI
National Provider Identifier
1306718358
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
44195 Crofton CT
Canton, MI 48187-1909
Phone
(313) 241-1617
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X MI
Student in an Organized Health Care Education/Training Program 390200000X MI Primary

Addresses

Primary practice location

44195 Crofton CT
Canton, MI 48187-1909

Mailing address

44195 Crofton CT
Canton, MI 48187-1909
Phone (313) 241-1617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dabajaf1@msu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1306718358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44195 CROFTON CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871909",
            "telephone_number": "313-241-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44195 CROFTON CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871909",
            "telephone_number": "313-241-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "FATIMA",
        "middle_name": "TAREK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dabajaf1@msu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "44195 Crofton Ct",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481871909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.