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NPI Code Detail

MEDICARE: SEAN A TABAIE M.D.

MEDICARE: SEAN A TABAIE M.D.
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
1207XP3100XPediatric Orthopaedic Surgery Physician35.151373OH
2207X00000XOrthopaedic Surgery Physician35.151373OH

General Provider Information

NPI Number : 1710116009
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN A TABAIE M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-2663
Fax Number : 614-293-2053
Provider Business Practice Location Address
First Line : 915 OLENTANGY RIVER RD STE 3200
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-3167
Country : US
Telephone Number : 614-293-2663
Fax Number : 614-293-2053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2009
Last Update Date : 01/21/2025

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Directions to “ SEAN A TABAIE M.D.” Practice Location

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