Raymond Tabibiazar, M.D.
Internal Medicine in San Jose, CA. Individual provider (NPI-1).
NPI number1447423587
StatusActive
Last updated in NPPESJul 14, 2009
Details
- NPI
- 1447423587
- Entity type
- Individual (NPI-1)
- Name
- Raymond Tabibiazar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2008
- Last updated
- Jul 14, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A69479 | CA | Yes |
Practice location
2030 Forest AveSuite 210
San Jose, CA 95128-4833
Phone 415-671-5674
Mailing address
2030 Forest AveSuite 210
San Jose, CA 95128-4833
Phone 415-671-5674
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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