Individual
DR. ADAM S TABBAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 COLUMBIA RD #200, STE #200, WESTLAKE, OH 44145-7215
(440) 808-0522
(440) 808-2060
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-0522
(440) 808-2060
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.139711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019780
—
OH
01
—
Q00545243
MEDICARE RAILROAD
OH
Enumeration date
03/28/2016
Last updated
01/19/2024
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