Healthcare Provider Details

I. General information

NPI: 1740466689
Provider Name (Legal Business Name): AMINE TOUFIC TARABEY DOCTOR OF MEDICINE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 YOAKUM PKWY UNIT 1016
ALEXANDRIA VA
22304-3825
US

IV. Provider business mailing address

205 YOAKUM PKWY UNIT 1016
ALEXANDRIA VA
22304-3825
US

V. Phone/Fax

Practice location:
  • Phone: 703-593-1688
  • Fax:
Mailing address:
  • Phone: 703-593-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: