Active NPI
Najwa Tabrah, MD
- Gynecology Physician
- Kettering, OH
National Provider Identifier
1417039777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35035908
- Practice address
- 3533 Southern Blvd
Suite 4600
Kettering, OH 45429 - Phone
- (937) 296-0167
- Fax
- (937) 297-2330
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35035908 | OH | Primary |
Addresses
Primary practice location
3533 Southern Blvd
Suite 4600
Kettering, OH 45429
Mailing address
3665 Middle Run Rd
Spring Valley, OH 45370
Phone (937) 848-2428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248815 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35035908 | OH | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417039777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 MIDDLE RUN RD",
"city": "SPRING VALLEY",
"state": "OH",
"postal_code": "45370",
"telephone_number": "937-848-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "SUITE 4600",
"city": "KETTERING",
"state": "OH",
"postal_code": "45429",
"telephone_number": "937-296-0167",
"fax_number": "937-297-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABRAH",
"first_name": "NAJWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35035908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0248815",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.