Mark M Tavakoli, MD | |
2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 | |
(205) 989-1080 | |
(205) 989-1087 |
Full Name | Mark M Tavakoli |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2010 Brookwood Medical Ctr Dr, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679570204 | NPI | - | NPPES |
051594516 | Other | AL | BCBS |
101705 | Medicaid | AL | |
101704 | Medicaid | AL | |
P00653636 | Other | AL | RAILROAD MEDICARE |
00003018 | Medicaid | AL | |
051549063 | Other | AL | BCBS |
101703 | Medicaid | AL | |
C71588 | Other | AL | VIVA |
051549062 | Other | AL | BCBS |
051549064 | Other | AL | BCBS |
09259043 | Medicaid | MS | |
105513 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6173 (Alabama) | Primary |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Mark M Tavakoli, MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Mark M Tavakoli, MD 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804 Ph: (205) 989-1080 |
Riaz Mohammed Karukappadath, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
Dr. Victor E. Mendoza, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5130 Cyrus Cir, Birmingham, AL 35242 Phone: 205-981-0414 | |
Joshua Edward Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Stacy Wade, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Bernis A Simmons, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 52 Medical Park Dr E, Suite 321, Birmingham, AL 35235 Phone: 205-838-3055 Fax: 205-838-3517 | |
George R. Wells Iii, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7246 | |
Teddy W. Sartin, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1600 Carraway Blvd, Birmingham, AL 35234 Phone: 205-502-6817 Fax: 205-502-5152 |