Individual
BAILEY E TAYEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
755 W CARMEL DR STE 101, CARMEL, IN 46032-5875
(317) 846-2396
(317) 846-1699
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01077179A
IN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01077179A
IN
Other
Enumeration date
04/25/2011
Last updated
09/29/2025
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