Medardo Tabotabo in Grays Knob - Ophthalmology

Medardo Tabotabo - NPI 1033146097

Medardo Tabotabo is a Ophthalmology in Grays Knob, Kentucky. Medardo Tabotabo practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Medardo Tabotabo is 1033146097. The last update date is 2010-06-08.

Medardo Tabotabo's current location address is Po Box 360, Grays Knob, Kentucky. You can contact this provider via phone number 6062481320 and fax number 6062481518. The mailing address for Medardo Tabotabo is Po Box 360, Grays Knob, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Medardo Tabotabo
Address Po Box 360, Grays Knob, Kentucky
Phone Number 6062481320
Fax Number 6062481518
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1033146097
Provider Enumeration Date 2006-06-27
Last Updated Date 2010-06-08

Provider Mailing Address Detail

Address Po Box 360
City Grays Knob
State Kentucky (KY)
Post Code 408290360
Phone Number 6062481320
Fax Number 6062481518

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 24202
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64242027 KY --

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FAQs about Medardo Tabotabo

What is the unique 10-digit identifier code assigned to Medardo Tabotabo by the Centers for Medicare & Medicaid Services?

The Medardo Tabotabo has been issued the NPI (National Provider Identifier) 1033146097 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Medardo Tabotabo's facilities are situated?

The facilities of Medardo Tabotabo are physically located at the following address: Po Box 360, Grays Knob, KY, 408290360.

What is Medardo Tabotabo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Medardo Tabotabo is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033146097 to Medardo Tabotabo?

The Medardo Tabotabo received its 1033146097 assignment from the Centers for Medicare & Medicaid Services on 2006-06-27.

As of what date were the Medardo Tabotabo's details last updated?

The information pertaining to the Medardo Tabotabo, including its address, specialty, and other details, was most recently updated on 2010-06-08.

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