Individual
SARA R TABTABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-9333
(860) 714-8601
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-240238
MA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
055263
CT
207RC0000X
Cardiovascular Disease Physician
055263
CT
Other
Enumeration date
06/11/2009
Last updated
11/08/2022
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