Individual
DR. ISMAIL TABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-3199
(813) 661-6334
Mailing address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-3199
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036166773
IL
207RC0000X
Cardiovascular Disease Physician
67458
WI
207RI0011X
Interventional Cardiology Physician
Primary
036166773
IL
207RI0011X
Interventional Cardiology Physician
ME156591
FL
390200000X
Student in an Organized Health Care Education/Training Program
R72859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114619700
—
FL
Enumeration date
09/06/2011
Last updated
09/22/2023
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