Organization Active NPI

Amanollah Tabesh MD PA

  • Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1861428062
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME41543 Issued in FL
Legal business name
AMANOLLAH TABESH MD PA
Practice address
7001 N Dale Mabry Hwy
Suite # 3
Tampa, FL 33614-3910
Phone
(813) 932-0804
Fax
(813) 932-8163
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Amanollah Tabesh, MD
Title
Director
Phone
(813) 932-0804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME41543 FL Primary
Clinic/Center 261Q00000X ME41543 FL

Addresses

Primary practice location

7001 N Dale Mabry Hwy
Suite # 3
Tampa, FL 33614-3910

Mailing address

7001 N Dale Mabry Hwy
Suite # 3
Tampa, FL 33614-3910
Phone (813) 932-0804

National Provider Directory

National Provider Directory

Locations

7001 N Dale Mabry Hwy
Ste 3
Tampa, FL 33614
Phone (813) 253-0284

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1861428062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE # 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-932-0804",
            "fax_number": "813-932-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE # 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-932-0804",
            "fax_number": "813-932-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANOLLAH TABESH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "TABESH",
        "authorized_official_first_name": "AMANOLLAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-932-0804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME41543",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME41543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.