Individual
DR. MUMTAZ G TABBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 CONSTITUTION BLVD, SALINAS, CA 93906-3100
(831) 755-4111
(831) 755-4087
Mailing address
395 DEL MONTE CTR STE 173, MONTEREY, CA 93940-6156
(831) 755-4111
(831) 372-1666
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A54688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40248F
—
CA
Enumeration date
07/08/2006
Last updated
03/26/2018
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