Tavakoli, Kamyar D
Tavakoli, Kamyar D is an sole proprietor health care provider with primary practice located at 19115 Hillside Ave , Hollis NY 11423-1941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tavakoli, Kamyar D can be contacted via phone (718) 217-5200.Contact Information
Primary practice address
19115 Hillside Ave
Hollis NY 11423-1941
Phone: (718) 217-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 190615 | New York |
Profile Details
| NPI number | 1528148475 |
|---|---|
| LBN Legal business name | Tavakoli, Kamyar D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Oct 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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