Individual
HESAM TAVAKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5039
(510) 535-7313
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-5039
(510) 535-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
157939
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
157939
CA
Other
Enumeration date
04/20/2016
Last updated
07/24/2023
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