Whalio Doctors

NPI 1003417551

Tara Tabbaa, PAC

Practitioner Physician Assistant Willoughby Hills, OH

Practice location

Address
2570 Som Center Rd, Willoughby Hills, OH 44094-9607
Phone
(440) 943-2500
Mailing address
6618 Brettin Dr, Independence, OH 44131-6541

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50.006628RX (OH)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 085.007935 (IL)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-007935 (IL)

Registry record

NPI
1003417551
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Nov 2020
Record last updated
24 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.