Provider Demographics
NPI:1588619357
Name:TABAN, ASHER H (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:H
Last Name:TABAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18350 ROSCOE BLVD
Mailing Address - Street 2:#304
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4109
Mailing Address - Country:US
Mailing Address - Phone:818-993-6063
Mailing Address - Fax:818-993-6090
Practice Address - Street 1:18350 ROSCOE BLVD
Practice Address - Street 2:#304
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4109
Practice Address - Country:US
Practice Address - Phone:818-993-6063
Practice Address - Fax:818-993-6090
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA30808207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A308080Medicaid
CAA87457Medicare UPIN
CA00A30808Medicare UPIN