DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SANAM TABATABAI DO

MEDICARE: SANAM TABATABAI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598606576
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANAM TABATABAI DO
Provider Business Mailing Address
First Line : 245 FOUNTAIN CT STE 215
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2792
Country : US
Telephone Number : 859-323-6861
Fax Number : 859-323-1194
Provider Business Practice Location Address
First Line : 245 FOUNTAIN CT STE 215
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2792
Country : US
Telephone Number : 859-323-6861
Fax Number : 859-323-1194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

Similar Medicare Providers

1720928963 — OLIVIA DAVIS MD
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax:
1417897281 — JAMES GRAY BERRY
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax: 859-323-1194
1386584076 — SARAH WILSON MD
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax:
1467392506 — JOSHUA MANGUNSONG
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax: 859-323-1194
1699616714 — MR. ETHAN REVIS DO
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax: 859-323-1194
1982545828 — SUPRIYA CHALLA MD
Practice Location Address:
245 FOUNTAIN CT STE 215
LEXINGTON, KY
40509-2792
Practice Phone: 859-323-6861
Practice Fax: 859-323-1194

Directions to “ SANAM TABATABAI DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.