Provider Demographics
NPI:1346643368
Name:TABIBI, SAEED
Entity Type:Individual
Prefix:MR
First Name:SAEED
Middle Name:
Last Name:TABIBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1289
Mailing Address - Country:US
Mailing Address - Phone:305-962-9569
Mailing Address - Fax:
Practice Address - Street 1:712 VERNON AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1289
Practice Address - Country:US
Practice Address - Phone:305-962-9569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-04
Last Update Date:2014-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program