NADER TAVAKOLI PA INC – NPI #1346348075
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NADER TAVAKOLI PA INC is a provider located in LARGO, MD. NPPES has assigned the NPI number 1346348075 to NADER TAVAKOLI PA INC on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Aug 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NADER TAVAKOLI PA INC below.

NPI Profile for
NADER TAVAKOLI PA INC

NPI Number
1346348075
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NADER TAVAKOLI PA INC
Primary location
9500 MEDICAL CENTER DRIVE SUITE 230-F
LARGO, MD 20774
Phone: (301) 352-7118 Fax: (301) 352-7779
Mailing address
626 ADMIRAL DR
SUITE C #235
ANNAPOLIS, MD 21401-2151
Phone: (301) 352-7118 Fax: (301) 352-7779
Organization Subpart
No
Authorized Official
NADER TAVAKOLI-JALILI
PRESIDENT
Phone: (301) 352-7118
Updated
Certification Date
Aug 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NADER TAVAKOLI PA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD305791700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207QA0505X
- Family Medicine / Adult Medicine
MD D41978

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.