Provider Demographics
NPI:1760940902
Name:TABY CORP.
Entity Type:Organization
Organization Name:TABY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKHIREH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-837-0364
Mailing Address - Street 1:73710 ALESSANDRO DR STE A1
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3638
Mailing Address - Country:US
Mailing Address - Phone:760-837-0364
Mailing Address - Fax:
Practice Address - Street 1:73710 ALESSANDRO DR STE A1
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3638
Practice Address - Country:US
Practice Address - Phone:760-837-0364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHAMMED ZAKHIREH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty