Tahboub, Imad

Tahboub, Imad is an individual health care provider with primary practice located at 215 Marion Ave , Mccomb MS 39648-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tahboub, Imad can be contacted via phone (601) 249-5500.

Contact Information

Primary practice address
215 Marion Ave Mccomb MS 39648-2705
Phone: (601) 249-5500
Fax: (601) 249-1173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X IT053374 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31196 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23349 Mississippi

Profile Details

NPI number 1669468336
LBN Legal business name Tahboub, Imad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Apr 29th, 2021 - about 5 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 1669468336 NPPES
Mississippi MEDICAID 03404537
Mississippi MEDICAID 131779

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