DR. LUAI KHALIL TABAZA


Address: 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600
Phone: 8564284100

DR. LUAI KHALIL TABAZA (NPI# 1922366244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922366244
Entity Type Individual
Full Name DR. LUAI KHALIL TABAZA
Credential MD
Practice Address 1 Brace Rd Ste C1
Cherry Hill
NJ 08034-2600
Mailing Address 301 Lippincott Dr Ste 410
Marlton
NJ 08053-4197
Practice Telephone 8564284100
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Enumeration Date 2012-04-24
Last Update Date 2020-10-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 9329 IA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
25MA10699900 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 1 BRACE RD STE C1
City CHERRY HILL
State NJ
Zip Code 08034-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336141753 Kathleen P. Burns Physician Assistant 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2005-08-15
1316482771 Tonya Michelle Hughley Nurse Practitioner 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2016-12-21
1245595149 Aatish Garg Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2012-07-07
1184987604 Peter Bulik Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2012-06-19
1023349859 Kimberly Borkowski Nurse Practitioner 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2010-01-18
1659518561 Tracy Lynn Lanoza Nurse Practitioner 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2009-01-14
1841440377 Bryan Saia Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2008-09-20
1154594224 Kristofer Hillegas Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2008-04-09
1417148362 Delcine Ann Sood Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2007-08-06
1164576872 Rozy Dunham Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2007-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821606054 Glickman Psychological Services, LLC Psychologist 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 2020-07-14
1215455225 Arc of Camden County Millhurst Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 2017-08-30
1144748120 Arc of Camden County Chanticleer Drive Supported Living Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 712 Chanticleer Drive, Cherry Hill, NJ 08034 2017-08-30
1124558689 1 Choice Home Health Care, LLC Home Health 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 2017-06-18
1205362621 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 Wayland Rd, Cherry Hill, NJ 08034 2017-05-04
1598291940 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 Brookdale Dr, Cherry Hill, NJ 08034 2017-05-04
1861928285 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 302 Portsmouth Rd, Cherry Hill, NJ 08034 2017-05-04
1265967954 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Farmhouse Ln, Maple Shade, NJ 08034 2017-05-01
1023543709 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 407 Cranford Rd, Cherry Hill, NJ 08034 2017-05-01
1588199269 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Colgate Drive, Cherry Hill, NJ 08034 2017-05-01
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255420899 Thierry Momplaisir Internal Medicine 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 2006-10-12
1750360020 John Joseph Finley Iv Internal Medicine 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 2006-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386119014 Hamilton Heart & Vascular Care LLC Internal Medicine 3379 Quakerbridge Rd Ste 200, Hamilton, NJ 08619-1269 2018-10-09
1578812848 Michael Alan Stein Internal Medicine 110 Lazarus Dr, Ledgewood, NJ 07852-2345 2012-09-02
1528386380 Daniel Robert Amoruso Internal Medicine 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 2010-05-04
1417188905 Humc Cardiovascular Partners, PC Internal Medicine 400 Frank W. Burr Boulevard, Suite 22, Teaneck, NJ 07666-6700 2009-07-31
1477727030 Ramin Shayegan Hastings Internal Medicine 777 Terrace Ave Ste 311, Hasbrouck Heights, NJ 07604-3112 2008-04-15
1710168232 Holy Name Cardiology Associates, PC Internal Medicine 954 Teaneck Road, Teaneck, NJ 07666-4245 2007-11-27
1093883597 Varinder Singh Internal Medicine 215 Bridge St, Bldg.e, Metuchen, NJ 08840-2291 2006-12-01
1073612990 Isaac Tawfik Internal Medicine 479 Rt 520, Marlboro, NJ 07746 2006-09-21
1215034640 Jonathan E. Goldstein Md Internal Medicine 268 Dr Martin Luter King, Newark, NJ 07102 2006-09-20
1942235577 James R Clifford Md PC Internal Medicine 255 West Spring Valley Ave, Maywood, NJ 07607 2006-07-12
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Competitor

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City CHERRY HILL
Zip Code 08034

Improve Information

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Dataset Information

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.

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