# RODOLPHE TABY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710271697
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 59752 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 80985 | GA | — |
| 207Q00000X | Family Medicine Physician | 9527A | WY | — |
| 208M00000X | Hospitalist Physician | 80985 | GA | — |
| 208M00000X | Hospitalist Physician | 9527A | WY | — |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 02/26/2021
