Provider Demographics
NPI:1902101850
Name:NDOFOR, BIH TABAH (MD)
Entity Type:Individual
Prefix:DR
First Name:BIH
Middle Name:TABAH
Last Name:NDOFOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BIH
Other - Middle Name:
Other - Last Name:TABAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2020 MERIDIAN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-4338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2020 MERIDIAN ST STE 220
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-4338
Practice Address - Country:US
Practice Address - Phone:765-683-3158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0263207V00000X
IN01074913A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology