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Individual

DR. KAMBUZIA KAM TABARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16177 RIDGECREST AVE, MONTE SERENO, CA 95030-4137
(408) 354-4441
(408) 354-4442
Mailing address
16177 RIDGECREST AVE, MONTE SERENO, CA 95030-4137
(408) 354-4441
(408) 354-4442

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G8599
CA

Other

Enumeration date
09/27/2012
Last updated
09/27/2012
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