Provider Demographics
NPI:1184829434
Name:TARABEN, AMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:TARABEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12000 MCCRACKEN RD.
Mailing Address - Street 2:SUITE 460
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-475-5370
Mailing Address - Fax:216-475-5125
Practice Address - Street 1:12000 MCCRACKEN RD.
Practice Address - Street 2:SUITE 460
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-475-5370
Practice Address - Fax:216-475-5125
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH95767207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE88928Medicare UPIN