Amanollah Tabesh MD PA

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

Last updated

Feb 28, 2008By 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

Amanollah Tabesh, MDNPI 1821049826

Title

Director

Phone

(813) 932-0804

Specialties & licenses 2

Addresses

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.

• Amanollah -- Tabesh, M.D.

  • Otolaryngology Physician
  • Tampa, FL
  • NPI 1821049826
  Authorized official Same address or phone

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": []
}

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• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• 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.