Organization
A T TAMBOLI M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDESHIR TAMBOLI (OWNER)
(330) 343-1205
Entity
Organization
Contact information
Practice address
899 E IRON AVE STE D, DOVER, OH 44622-2097
(330) 343-1205
Mailing address
PO BOX 3058, WHEELING, WV 26003-0223
(330) 343-1205
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
35045162
OH
207Q00000X
Family Medicine Physician
35063405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433294
—
OH
05
—
0895152
—
OH
01
—
35045162
DR. ADIE TAMBOLI
OH
01
—
35063405
DR. JASMIN TAMBOLI
OH
Enumeration date
01/26/2007
Last updated
02/21/2023
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