Scott Andrew Tabish, MSPAS, MPH, PA-C
Physician Assistant, Surgical in Oakland, CA. Individual provider (NPI-1).
NPI number1720366271
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1720366271
- Entity type
- Individual (NPI-1)
- Name
- Scott Andrew Tabish
- Credential
- MSPAS, MPH, PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2011
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA21687 | CA | Yes |
Practice location
280 W Macarthur BlvdOakland, CA 94611-5642
Phone 801-916-5309
Mailing address
280 W Macarthur BlvdOakland, CA 94611-5642
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