Individual
MOUSAB I TABBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-2060
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-0321
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35053272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0727637
—
OH
01
—
110039356
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
01/19/2024
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