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Contact Information

KHALID Z TABBARAH, MD
201 LYONS AVE # F4
NEWARK, NJ07112-2027
 Phone: 973-926-7331
 Fax: 973-926-2997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KHALID Z TABBARAH · (Male)

NPI Number 1962524975
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2007
Last updated 02/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 108915
  • NC License # 2005-01588
  • NC License # 200501588
  • NJ License # 25MA09591000
  • PA License # MD430879
Hospital affiliation(s)
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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