Mohammad Tabatabaei, PA-C
Mohammad Tabatabaei, PA-C is a Physician Assistant in Sullivan, Illinois. Qualified in 2004, 22 years ago. Practices with Decatur Memorial Hospital, a 169-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 22
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1220 W Jackson StSullivan, IL 61951-1032
Phone: (217) 728-2042
Fax: (217) 728-2485
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085-002332 (IL) |
|---|
Record details
| NPI number | 1215954813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
| Mailing address | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Decatur Memorial Hospital — 169 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |