| Doctor Name: | VIRGINIA TAN TABIB |
| NPI Number: | 1013985258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 01032934 |
| Business Practice Address: | 8127 Merrillville Rd Merrillville, IN - 464106158 |
| Business Phone Number: | 2197694855 |
| Business Fax Number: | 2197575629 |
| Mailing Address: | 2600 Roosevelt Rd, VALPARAISO |
| State: | IN |
| Postal Code: | 463830970 |
| Phone Number: | 2194641620 |
| Fax Number: | 2197575629 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 01032934 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |