# A T TAMBOLI M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285780049
- **Authorized official:** ARDESHIR TAMBOLI (OWNER)
- **Authorized official phone:** (330) 343-1205

## Contact information

- **Practice address:** 899 E IRON AVE STE D, DOVER, OH 44622-2097
- **Practice address phone:** (330) 343-1205
- **Mailing address:** PO BOX 3058, WHEELING, WV 26003-0223
- **Mailing address phone:** (330) 343-1205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 35045162 | OH | Yes |
| 207Q00000X | Family Medicine Physician | 35063405 | OH | — |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 02/21/2023