Dr Shadi Tabba, | |
171 Elden St, Suite 2c4, Herndon, VA 20170-4875 | |
(571) 612-2606 | |
Not Available |
Full Name | Dr Shadi Tabba |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 171 Elden St, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447491824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | 0101245162 (Virginia) | Primary |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
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Dr Shadi Tabba, 171 Elden St, Suite 2c4, Herndon, VA 20170-4875 Ph: (571) 612-2606 | Dr Shadi Tabba, 171 Elden St, Suite 2c4, Herndon, VA 20170-4875 Ph: (571) 612-2606 |
Subarna B Dharia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Drive, Ste. H, Herndon, VA 20171 Phone: 703-860-4200 Fax: 703-860-1528 | |
Mrs. Jennifer P Ferrer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Drive, Ste. H, Herndon, VA 20171 Phone: 703-860-4200 Fax: 703-860-1528 | |
Kalpana Thammineni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Elden Street, 200, Herndon, VA 20170 Phone: 305-984-6031 | |
Deborah D Foley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12930 Worldgate Dr Ste 300, Herndon, VA 20170 Phone: 703-657-5500 | |
Mr. Salah M Neberai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 110 Elden St, D, Herndon, VA 20170 Phone: 703-471-6996 Fax: 703-435-7762 | |
Mr. Amin Akhlaghi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12950 Highland Crossing Dr Ste H, Herndon, VA 20171 Phone: 703-860-4200 |