Nader Tavakoli PA INC

NPI #1346348075 in Largo, Maryland

Provider Information

NPI Number: 1346348075
Entity Type: Organization
Organization Name: Nader Tavakoli PA INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Aug 25, 2021

Practice Location

Address: 9500 MEDICAL CENTER DRIVE SUITE 230-F
City: Largo
State: Maryland
ZIP Code: 20774
Phone: (301) 352-7118

Authorized Official

Name: DR. NADER TAVAKOLI-JALILI, MD
Title: PRESIDENT
Phone: (301) 352-7118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Adult Medicine — Adult Medicine	207QA0505X
Family Medicine	207Q00000X	Primary

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