Healthcare Provider Details

I. General information

NPI: 1184829434
Provider Name (Legal Business Name): AMIR TARABEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 MCCRACKEN RD. SUITE 460
GARFIELD HTS OH
44125
US

IV. Provider business mailing address

12000 MCCRACKEN RD. SUITE 460
GARFIELD HTS OH
44125
US

V. Phone/Fax

Practice location:
  • Phone: 216-475-5370
  • Fax: 216-475-5125
Mailing address:
  • Phone: 216-475-5370
  • Fax: 216-475-5125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number95767
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: