Tavares, Trisha Simone

Tavares, Trisha Simone is an individual health care provider with primary practice located at 3033 N Central Ave Ste 700 , Phoenix AZ 85012-2806. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tavares, Trisha Simone can be contacted via phone (602) 230-7373.

Contact Information

Primary practice address
3033 N Central Ave Ste 700 Phoenix AZ 85012-2806
Phone: (602) 230-7373
Fax: (602) 257-8029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48619 Arizona
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 232402 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48619 Arizona

Profile Details

NPI number 1447461520
LBN Legal business name Tavares, Trisha Simone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Nov 21st, 2023 - about 3 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 1447461520 NPPES
New York MEDICAID 02881065
New York MEDICAID 895139

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