Individual
GEOFFREY C TABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5714168-1205
UT
207W00000X
Ophthalmology Physician
G150659
CA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
G150659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008041052
PTAN
UT
05
—
D5989
—
UT
Enumeration date
10/13/2006
Last updated
03/21/2024
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