DR. SHADI TABBA (NPI# 1447491824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447491824 |
| Entity Type | Individual |
| Full Name | DR. SHADI TABBA |
| Other Name | DR. SHADI TABBA |
| Practice Address |
171 Elden St Suite 2c4 Herndon VA 20170-4875 |
| Practice Telephone | 5716122606 |
| Mailing Telephone | 5716122606 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
0101245162 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
171 ELDEN ST SUITE 2C4 |
| City | HERNDON |
| State | VA |
| Zip Code | 20170-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003401 | Sameer I Ahmad | Ophthalmology | 171 Elden St, Ste 100, Herndon, VA 20170-4834 | 2006-04-20 |
| 1780921742 | Allure Dental, LLC | Dentist | 171 Elden St, Suite 2c3, Herndon, VA 20170-4875 | 2013-01-10 |
| 1386976900 | Farrah Alkeliddar | Dentist | 171 Elden St, 2c3, Herndon, VA 20170-4875 | 2010-02-07 |
| 1194965830 | Sabita M. Ittoop | Ophthalmology | 171 Elden St, Suite 100, Herndon, VA 20170-4875 | 2009-02-20 |
| 1073782777 | Glaucoma Consultants of Washington, Inc. | Ophthalmology | 171 Elden St, Suite 100, Herndon, VA 20170-4875 | 2008-02-27 |
| 1962671818 | Glaucoma Consultants of Washington, Inc. | Ophthalmology | 171 Elden St, Suite 100, Herndon, VA 20170-4875 | 2008-02-25 |
| 1356451132 | Iman Ayoubi | Dentist | 171 Elden St, Suite 2c3, Herndon, VA 20170-4875 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740337690 | Bryce Allen Nelson | Pediatrics | 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 | 2007-01-04 |
| 1568427565 | Craig Rudlin | Pediatrics | 4600 Grove Ave, Richmond, VA 23226-1301 | 2006-04-20 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1902246481 | Ladan Davallow Ghajar | Pediatrics | 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 | 2013-06-28 |
| 1902171093 | Nicole Lynn Nejedly | Pediatrics | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2012-03-21 |
| 1013217207 | Mary Elizabeth Watson | Pediatrics | 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Dept. of Pediatrics, Portsmouth, VA 23708-2197 | 2010-10-22 |
| 1699092296 | Kelly A. Mason | Pediatrics | 1204 W Main St, Charlottesville, VA 22908-2824 | 2010-04-23 |
| 1326363110 | Melissa J. Schoelwer | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-04-05 |
| 1023332947 | Lindsey Waldman | Pediatrics | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2010-03-22 |
| 1780832980 | Arti P. Shah | Pediatrics | 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 | 2008-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.