Provider Demographics
NPI:1578173365
Name:TARABAY, RAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMI
Middle Name:
Last Name:TARABAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 LA COSTA CIR APT 206
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-6622
Mailing Address - Country:US
Mailing Address - Phone:540-408-9915
Mailing Address - Fax:
Practice Address - Street 1:3160 CITRUS TOWER BLVD BLDG 9
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6884
Practice Address - Country:US
Practice Address - Phone:352-800-5144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME157761207QH0002X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program