Individual
TAIF MUKHDOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
PO BOX 738247, DALLAS, TX 75373-8247
(614) 647-2526
(877) 409-2415
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
75027
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
LP04360
RI
208VP0014X
Interventional Pain Medicine Physician
309546-01
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
35.144105
OH
Other
Enumeration date
04/26/2017
Last updated
04/06/2026
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