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Individual
SARA R TABTABAI
Active
Individual
SARA R TABTABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-240238
MA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
055263
CT
207RC0000X
Cardiovascular Disease Physician
055263
CT
Other
Enumeration date
06/11/2009
Last updated
11/08/2022
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