Individual
KUTAIBA TABBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4801
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35053877
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07173861
—
OH
Enumeration date
12/27/2006
Last updated
12/27/2021
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