Moustafa, Tarek Shaaban

Moustafa, Tarek Shaaban is an individual health care provider with primary practice located at 2658 W. Laskey Road 2Nd Floor, Toledo OH 43613-3288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Moustafa, Tarek Shaaban can be contacted via phone (419) 473-8105.

Contact Information

Primary practice address
2658 W. Laskey Road 2Nd Floor Toledo OH 43613-3288
Phone: (419) 473-8105
Fax: (419) 254-2121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301083897 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301083897 Michigan

Profile Details

NPI number 1811087844
LBN Legal business name Moustafa, Tarek Shaaban
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811087844 NPPES
Ohio MEDICAID 2590941
Ohio MEDICAID 4766161

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