Tabatabaii, Ashraf

Tabatabaii, Ashraf is an sole proprietor health care provider with primary practice located at 421 River Rd , Picayune MS 39466-3160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tabatabaii, Ashraf can be contacted via phone (601) 798-0511.

Contact Information

Primary practice address
421 River Rd Picayune MS 39466-3160
Phone: (601) 798-0511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10074 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016970 Louisiana

Profile Details

NPI number 1679726905
LBN Legal business name Tabatabaii, Ashraf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2008
Last updated Oct 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679726905 NPPES
Louisiana MEDICAID 1354180
Louisiana MEDICAID 0019568
Louisiana Other 25D0319246

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