Provider Demographics
NPI:1043086085
Name:KARAHBI, TAMARAH
Entity Type:Individual
Prefix:MRS
First Name:TAMARAH
Middle Name:
Last Name:KARAHBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 CALLE ANDREA
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3992
Mailing Address - Country:US
Mailing Address - Phone:626-224-4666
Mailing Address - Fax:
Practice Address - Street 1:245 CALLE ANDREA
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3992
Practice Address - Country:US
Practice Address - Phone:626-224-4666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2349758343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)