Individual
DR. SHAHIN TABATABAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
209109
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188760
—
MA
01
—
209109
TUFTS HEALTH PLAN
MA
01
—
J25678
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
11/26/2012
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