{"npi":"1659570992","type":"NPI-1","status":"active","name":{"display":"Sundeep Dabra M.D.","other":[],"first":"SUNDEEP","last":"DABRA","middle":"KUMAR","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"SC","license":"30040"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NV","license":"20252"}]},"addresses":[{"purpose":"LOCATION","street_1":"3269 N STOCKTON HILL RD","city":"KINGMAN","state":"AZ","postal_code":"864093619","country_code":"US","phone":"9287572101"},{"purpose":"MAILING","street_1":"6355 S BUFFALO DR FL 3","city":"LAS VEGAS","state":"NV","postal_code":"891132133","country_code":"US","phone":"7022163346"}],"license":{"state":"NV","number":"20252"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300409","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200930001735","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NV","pac_id":"4183869985"},{"enrlmt_id":"I20241112001497","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"AZ","pac_id":"4183869985"}]},"enumeration_date":"2007-07-17","last_updated":"2025-01-03","_meta":{"source":"NPPES","snapshot_date":"2025-01-03","doc_url":"https://findmynpi.com/api"}}