Tavakoli, Mojgan

Tavakoli, Mojgan is an individual health care provider with primary practice located at 4461 Coit Rd Suite 409, Frisco TX 75035-0526. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Tavakoli, Mojgan can be contacted via phone (972) 712-7773.

Contact Information

Primary practice address
4461 Coit Rd Suite 409 Frisco TX 75035-0526
Phone: (972) 712-7773
Fax: (972) 712-3134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1549 Texas

Profile Details

NPI number 1801847694
LBN Legal business name Tavakoli, Mojgan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 10th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801847694 NPPES
Texas Other 8B8721 BLUE CROSS BLUE SHIELD
Texas MEDICAID 148569001 BLUE CROSS BLUE SHIELD
Texas Other 752946496 BLUE CROSS BLUE SHIELD
Texas MEDICAID 148568201 BLUE CROSS BLUE SHIELD

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