# DR. TRISHA SIMONE TAVARES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447461520
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 48619 | AZ | Yes |
| 208000000X | Pediatrics Physician | 48619 | AZ | — |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 232402 | NY | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 11/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02881065 | — | NY |
| 05 | — | 895139 | — | AZ |