Dr Aydin Tavakoli, MD, MSC, BSC is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kalamazoo, Michigan. His current practice location is
1000 Oakland Dr, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 337-4400.
Dr Aydin Tavakoli is licensed to practice in Michigan (license number 1073929600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073929600.
Physician's Profile
Full Name | Dr Aydin Tavakoli |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Oakland Dr, Kalamazoo, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073929600
- Provider Enumeration Date: 07/03/2014
- Last Update Date: 06/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 8628384930
- Enrollment ID: I20150901003048
Medical Identifiers
Medical identifiers for Dr Aydin Tavakoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073929600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | XXX (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 1073929600 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Aydin Tavakoli is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Aydin Tavakoli, MD, MSC, BSC 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 | Dr Aydin Tavakoli, MD, MSC, BSC 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 337-4400 |
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