Individual
HAMID R TAVAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6901
(757) 953-6907
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6901
(757) 764-9597
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
375
VA
2084P0800X
Psychiatry Physician
Primary
0101233195
VA
Other
Enumeration date
06/23/2006
Last updated
10/16/2020
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