Javad Tabatabaian, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35035392 Issued in OH

Practice address

2200 Philadelphia Dr
Suite 544
Dayton, OH 45406-1830

Phone

(937) 277-5367

Fax

(937) 277-6919

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1780763938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41056",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45441",
            "telephone_number": "937-277-5367",
            "fax_number": "937-277-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 544",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061830",
            "telephone_number": "937-277-5367",
            "fax_number": "937-277-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATABAIAN",
        "first_name": "JAVAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35035392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000020993",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0403007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0836939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Elizabeth Szojak
• Sydney Szuch
• Connie Mary Szymczak, M.A.
• T. R. Stahl & Assoc. Inc.
• T&M Developmental Transportation Services LLC
• Hellana S Tabessi
• Jack Tabor Jr
• Cassandra Tabor
• Abigail Tackett, PA-C
• Brandon Michael Tackett, LSW

• Internal Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.