Kamyar David Tavakoli Physician PLLC
NPI 1396991774ActiveOrganization· Internal Medicine· Hollis, NY
Internal Medicine in Hollis, New York, registered in NPPES in August 2008. The authorized official on file is Daniel Tavakoli, Bookkeeper. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396991774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2008 |
| Last updated in NPPES | Aug 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 190615 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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