Individual
LEILA TABIBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8500
(651) 254-8504
Mailing address
8170 33RD AVE S, MS21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
53490
MN
208800000X
Urology Physician
A70921
CA
Other
Enumeration date
11/01/2006
Last updated
10/06/2021
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