Individual
DR. MOHAMMAD JALAL TABBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
G1125 S LINDEN RD STE 500, FLINT, MI 48532
(810) 262-2140
(810) 230-3942
Mailing address
1 HURLEY PLAZA ATTN PROFESSIONAL BILLING DEPT, FLINT, MI 48503-5902
(810) 262-9002
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301060157
MI
2080P0206X
Pediatric Gastroenterology Physician
C156135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891826772
—
MI
Enumeration date
03/09/2007
Last updated
05/23/2024
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