Individual
IDEEN TABATABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A204016
CA
208000000X
Pediatrics Physician
DR.0069624
CO
2080P0205X
Pediatric Endocrinology Physician
Primary
A204016
CA
Other
Enumeration date
04/18/2019
Last updated
12/29/2025
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