Tavakoli, Mark M.
Tavakoli, Mark M. is an individual health care provider with primary practice located at 2010 Brookwood Medical Ctr Dr , Birmingham AL 35209-6804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tavakoli, Mark M. can be contacted via phone (205) 989-1080.Contact Information
Primary practice address
2010 Brookwood Medical Ctr Dr
Birmingham AL 35209-6804
Phone: (205) 989-1080
Fax: (205) 989-1087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 6173 | Alabama |
Profile Details
| NPI number | 1679570204 |
|---|---|
| LBN Legal business name | Tavakoli, Mark M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Nov 4th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679570204 | NPPES |
| Alabama | Other | 051594516 | BCBS |
| Alabama | MEDICAID | 101705 | BCBS |
| Alabama | MEDICAID | 101704 | BCBS |
| Alabama | Other | P00653636 | BCBS |
| Alabama | MEDICAID | 00003018 | BCBS |
| Alabama | Other | 051549063 | BCBS |
| Alabama | MEDICAID | 101703 | BCBS |
| Alabama | Other | C71588 | BCBS |
| Alabama | Other | 051549062 | BCBS |
| Alabama | Other | 051549064 | BCBS |
| Alabama | MEDICAID | 09259043 | BCBS |
| Alabama | MEDICAID | 105513 | BCBS |
Popular Providers
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Lewis, Gordon Wayne
2010 Brookwood Medical Ctr Dr , Birmingham AL 35209-6804 -
Schuster, Abraham
2010 Brookwood Medical Ctr Dr , Birmingham AL 35209-6804 -
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Bullington, John C.
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Cook, Anthony B.
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Rudulph, James G.
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Nagrodzki, Paul M.
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Sipe, Sandra
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