Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35 097321 | OH |
NPI | 1205025632 |
---|---|
Provider Name | Sammy Mouhamad Tabbah |
First Address | Dublin, OH 43017-0727 |
Second Address | Columbus, OH 43214-3908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 14/12/2021 |