Most Relevant Information
Provider Data
| NPI Number: | 1003417551 |
| Provider Name: | TARA TABBAA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 085.007935 |
Most Important Dates
| Enumeration Date: | 11/02/2020 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
2570 SOM CENTER RD
WILLOUGHBY HILLS
OH
440949607
Practice Location Phone/Fax
| Phone: | 4409432500 |
| Fax: |
Provider Mailing Location
6618 BRETTIN DR
INDEPENDENCE
OH
441316541
Provider Mailing Phone/Fax
| Phone: | 2167895753 |
| Fax: |
Suggested EMR
Family Practice EMR