Kamyar David Tavakoli (NPI# 1528148475, PAC ID# 1456535483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528148475 |
| PAC ID by PECOS | 1456535483 |
| Professional Enrollment ID | I20110415000129 |
| Full Name | Kamyar David Tavakoli |
| Address |
191 15 Hillside Ave Hollis NY 11423-1941 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330195 | NS/LIJ HS LONG ISLAND JEWISH MEDICAL CENTER |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| Address | Phone | Organization |
|---|---|---|
| 191 15 Hillside Ave, Hollis, NY 11423-1941 |
| Street Address |
191 15 HILLSIDE AVE |
| City | HOLLIS |
| State | NY |
| Zip | 11423-1941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnold Mandelstam | Psychiatry | 8044 190th St, Jamaica, NY 11423-1039 | |
| Jonas D Gayer | Clinical Social Worker | 8146 188th St, Hollis, NY 11423-1065 | |
| Mahbubul Islam | Internal Medicine | 8786 188th St, Hollis, NY 11423-1131 | |
| Stanford A Griffith | Psychologist, Clinical | 8786 188th St, Jamaica, NY 11423-1131 | |
| Ayam De Leon | Physical Therapy | 8798 193rd St, Hollis, NY 11423-1439 | |
| Bernard D Lewin | Internal Medicine | 87 -91, Hollis, NY 11423-1440 | |
| David Sfass | Optometry | Swift Optometry Care PC | 19106 Hillside Ave, Jamaica, NY 11423-1942 |
| Gene Zitser | Neurology | 19503 Hillside Ave, Hollis, NY 11423-2014 | |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Sameer K Misra | Internal Medicine | 19602 Hillside Ave, Hollis, NY 11423-2125 | |
| Find all physicians in zip 11423 | |||
| City | HOLLIS |
| Zip Code | 11423 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOLLIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kamyar David Tavakoli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.