Susan Tavakoli, is a
Specialist/technologist - Athletic Trainer based in Fairfax, Virginia. Susan Tavakoli is licensed to practice in * (Not Available) (license number ) and her current practice location is
3046 Mission Square Dr, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 334-4514.
NPI number for Susan Tavakoli is 1134760564 and her current mailing address is 3046 Mission Square Dr, Fairfax, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134760564.
Healthcare Provider's Profile
Full Name | Susan Tavakoli |
---|
Gender | Female |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 3046 Mission Square Dr, Fairfax, Virginia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134760564
- Provider Enumeration Date: 10/07/2019
- Last Update Date: 10/07/2019
Medical Identifiers
Medical identifiers for Susan Tavakoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134760564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 0202216060 (Virginia) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | 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. Susan Tavakoli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Tavakoli, 3046 Mission Square Dr, Fairfax, VA 22031-1113 Ph: (757) 334-4514 | Susan Tavakoli, 3046 Mission Square Dr, Fairfax, VA 22031-1113 Ph: (757) 334-4514 |
Reviews and Comments