Individual
DR. IMAD TAHBOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-5500
(601) 249-1173
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23349
MS
207R00000X
Internal Medicine Physician
31196
AL
207R00000X
Internal Medicine Physician
IT053374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03404537
—
MS
05
—
131779
—
AL
Enumeration date
09/27/2005
Last updated
04/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us