Malik Dababneh, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009532 Issued in MI

Practice address

6050 Greenfield Rd
Suite 101
Dearborn, MI 48126-6004

Phone

(313) 945-9000

Fax

(313) 945-7500

NPI assigned

Aug 2, 2006

Last updated

Nov 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angel Home Visiting Physicians P.C.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1700023314
  NPD (past)
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD (past)
• Physicians Plus LLC

  • Home Health Agency
  • Gibraltar, MI
  • NPI 1811224751
  NPD (past)
• Family Healthcare Clinic & Rehab

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1215944152
  NPD (past)
• Graham Hospital Association

  dba Knox & Fulton County Wound and Hyperbaric Medicine

  • Internal Medicine Physician
  • Galesburg, IL
  • NPI 1710845854
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1306853221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-945-9000",
            "fax_number": "313-945-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "address_2": "SUITE 101",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-945-9000",
            "fax_number": "313-945-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABABNEH",
        "first_name": "MALIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-087287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-087287",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Czuj, LMSW
• D.a.S Creative Services
• Geoffrey Thane D'Allemand, PA-C
• D&T Health PLLC
• D2 Dental of Michigan, P.C.
• Ahmed Z Dabaja, DPM
• Ali Ahmad Dabaja, PHARMACIST
• Ali H Dabaja, DO
• Ayeh Dabaja
• Khalil Fouad Dabaja, DDS

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.