Individual
DR. MEHDI TAVAKOLI DASTJERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2800
(202) 741-2805
Mailing address
P.O. BOX 830941, MSC# 559, BIRMINGHAM, AL 35283
(205) 325-8536
(205) 325-8270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
HSE24976
FL
207W00000X
Ophthalmology Physician
Primary
L.5059SP
AL
Other
Enumeration date
06/13/2017
Last updated
10/27/2022
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