Dabaja Medical Consulting PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5601004858 Issued in MI

Legal business name

DABAJA MEDICAL CONSULTING PLLC

Practice address

24661 Coolidge Hwy
Oak Park, MI 48237-1449

Phone

(248) 398-4000

Fax

(248) 398-4141

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim H Dabaja, PA-C , DHED

Title

Ceo

Phone

(248) 398-4000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakesh Soni, MD

  • Adult Medicine Physician
  • Wayne, MI
  • NPI 1982803540
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1437544350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24661 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "248-398-4000",
            "fax_number": "248-398-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24661 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "248-398-4000",
            "fax_number": "248-398-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABAJA MEDICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-398-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA-C , DHED"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5601004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crite's Adult Foster Care Inc
• Chanola Crowder
• Sha'Keyia Culpepper
• D S Lazar DPM PC
• Dabaja Medical Consulting
• Benay Gilmore Dabney, DDS
• Daily Home Care
• Hana Hassan Dakroub, PHARM.D.
• Elnara Danilova, RBT
• Kathleen Dass, M.D.

• Primary Care Clinic/Center in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.