Provider Demographics
NPI:1891223012
Name:TARABISHY, SAMI PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMI
Middle Name:PAUL
Last Name:TARABISHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:526 JOHNNIE DODDS BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-1703
Mailing Address - Country:US
Mailing Address - Phone:843-571-4742
Mailing Address - Fax:
Practice Address - Street 1:526 JOHNNIE DODDS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-1703
Practice Address - Country:US
Practice Address - Phone:843-571-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC921642086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery