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General NPI Number Information
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NPI Number | 1265552145
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Entity Type | Individual
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Provider Name | SAYED A TABATABAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 119 MEDICAL PARK LN STE D
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4980
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Country | US
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Telephone | 936-277-1000
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Fax | 936-994-9020
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Provider Business Mailing Address
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Address Line | 119 MEDICAL PARK LN STE D
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City | HUNTSVILLE
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State | TX
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Zip | 77340-4980
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Country | US
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Telephone | 936-277-1000
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Fax | 936-994-9020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 264726-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | Q4310
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License Number State | TX
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