Individual
DR. CHAD JACOB TARABOLOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST, SUITE 19, ASHLAND, KY 41101-2880
(606) 325-2221
(606) 324-1326
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193645
PA
207RH0003X
Hematology & Oncology Physician
Primary
47626
KY
Other
Enumeration date
07/09/2008
Last updated
01/07/2016
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