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Individual

DR. SANA OMAR TABBARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD18621
DC
207ZP0101X
Anatomic Pathology Physician
MD18621
DC
207ZP0101X
Anatomic Pathology Physician
Primary
ME150863
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028465300
DC
Enumeration date
08/22/2006
Last updated
07/28/2021
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