Isam Tabbah MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35.038859 Issued in OH

Legal business name

ISAM TABBAH MD INC

Practice address

5126 Silver Woods LN
Dublin, OH 43016-7073

Phone

(740) 502-9284

NPI assigned

Oct 19, 2010

Last updated

Jun 22, 2016By 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. Isam Tabbah, MDNPI 1124024575

Title

President

Phone

(740) 502-9284

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Isam Tabbah, M.D.

  • General Practice Physician
  • Dublin, OH
  • NPI 1124024575
  Authorized official Same address or phone

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1235449687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 SILVER WOODS LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167073",
            "telephone_number": "740-502-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 SILVER WOODS LN",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167073",
            "telephone_number": "740-502-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAM TABBAH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "TABBAH",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-502-9284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.038859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.