Provider Demographics
NPI:1851520639
Name:TATCHUM-TALOM, RABELAIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RABELAIS
Middle Name:
Last Name:TATCHUM-TALOM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RABELEAIS
Other - Middle Name:
Other - Last Name:TATCHUM-TALOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:508 S CHURCH ST
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1702
Mailing Address - Country:US
Mailing Address - Phone:724-547-1500
Mailing Address - Fax:724-547-1762
Practice Address - Street 1:508 S CHURCH ST
Practice Address - Street 2:HOSPITALIST OFFICE
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1702
Practice Address - Country:US
Practice Address - Phone:724-547-1500
Practice Address - Fax:724-547-1762
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099963207PE0004X
PAMD446786281P00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No281P00000XHospitalsChronic Disease Hospital