Organization Active NPI

Zabaneh Medical Corporation

Doing business as Merrillville OB GYN Center

  • Specialist
  • Merrillville, IN
National Provider Identifier
1780704114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01048715 Issued in IN
Legal business name
ZABANEH MEDICAL CORPORATION
Doing business as
Merrillville OB GYN Center
Practice address
8550 Broadway
Merrillville, IN 46410-7032
Phone
(219) 736-8888
Fax
(219) 736-0450
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 736-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01048715 IN Primary

Addresses

Primary practice location

8550 Broadway
Merrillville, IN 46410-7032

Mailing address

8550 Broadway Avenue
Merrillville, IN 46410
Phone (219) 736-8888

Other names 1

  • MERRILLVILLE OB GYN CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780704114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 BROADWAY AVENUE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-8888",
            "fax_number": "219-736-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-736-8888",
            "fax_number": "219-736-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZABANEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "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": "219-736-8888",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERRILLVILLE OB GYN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.