Tavakoli, Sirpa A
Tavakoli, Sirpa A is an individual health care provider with primary practice located at 1743 Sycamore Ave , Kingman AZ 86409-0927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Tavakoli, Sirpa A can be contacted via phone (928) 757-8111.Contact Information
Primary practice address
1743 Sycamore Ave
Kingman AZ 86409-0927
Phone: (928) 757-8111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD25061 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A87373 | California |
Profile Details
| NPI number | 1326016296 |
|---|---|
| LBN Legal business name | Tavakoli, Sirpa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 21st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326016296 | NPPES |
| Oregon | MEDICAID | 213320 |
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