Tavakoli-Jalili, Nader

Tavakoli-Jalili, Nader is an individual health care provider with primary practice located at 9500 Medical Center Dr # 3230-F , Largo MD 20774-3701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tavakoli-Jalili, Nader can be contacted via phone (301) 352-7118.

Contact Information

Primary practice address
9500 Medical Center Dr # 3230-F Largo MD 20774-3701
Phone: (301) 352-7118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X D0041978 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0041978 Maryland

Profile Details

NPI number 1407059413
LBN Legal business name Tavakoli-Jalili, Nader
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Aug 27th, 2021 - about 5 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 1407059413 NPPES
Maryland MEDICAID 305791700
Maryland Other B181

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