ANNA TAVAKKOLI (NPI# 1568752756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568752756 |
| Entity Type | Individual |
| Full Name | ANNA TAVAKKOLI |
| Credential | M.D. |
| Practice Address |
5959 Harry Hines Blvd Dallas TX 75390-5362 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-7208 |
| Practice Telephone | 4692913372 |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301104725 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
R7610 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301104725 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, 3rd Floor Taubman Center Recp D, Ann Arbor, MI 481095362 | 7346475944 |
| Street Address |
5959 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385346 | Juan Miguel Herrera | Internal Medicine | 5959 Harry Hines Blvd, Suite 108, Dallas, TX 75235 | 2005-11-30 |
| 1679930838 | Jo Hoffman | Nurse Practitioner | 5959 Harry Hines Blvd, Dallas, TX 75390-9047 | 2016-01-19 |
| 1447647268 | Phillip Gu | Internal Medicine | 5959 Harry Hines Blvd, Dallas, TX 75390 | 2015-04-20 |
| 1255764049 | Samuel C Ngwu, M.d. | Physician Assistant | 5959 Harry Hines Blvd, Ste 204, Dallas, TX 75235-6234 | 2013-08-15 |
| 1619317336 | Martha Corinna Mangum | Nurse Practitioner | 5959 Harry Hines Blvd, Pob 1, 10th Floor, Suite Hp10.110, Dallas, TX 75390-8879 | 2013-06-26 |
| 1437592011 | Lindsay Ann Horton | Psychiatry & Neurology | 5959 Harry Hines Blvd, Dallas, TX 75390-2545 | 2013-04-12 |
| 1992043129 | Gayle Elizabeth Hodges | Psychologist | 5959 Harry Hines Blvd, Suite 108, Dallas, TX 75235-6234 | 2013-01-23 |
| 1457607715 | Wanderley Oliveira, Md, Professional Association | Obstetrics & Gynecology | 5959 Harry Hines Blvd, Suite 1030, Dallas, TX 75235-6234 | 2012-07-24 |
| 1033473129 | Amaka Opute | Nurse Practitioner | 5959 Harry Hines Blvd, Dallas, TX 75390 | 2012-07-03 |
| 1396071379 | J.m. Naftalis M.d., P.a. | Internal Medicine | 5959 Harry Hines Blvd, Suite 500, Dallas, TX 75235-6234 | 2009-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265903652 | Michael S Brown | Internal Medicine | 5323 Harry Hines Blvd Rm L5.238, Dallas, TX 75390-9046 | 2018-12-10 |
| 1205229374 | Specialists In Advanced Gastroenterology and Endoscopy, Pllc | Internal Medicine | 8267 Elmbrook Dr Ste 200, Dallas, TX 75247-4078 | 2015-03-12 |
| 1346687738 | Mark Robert Pedersen | Internal Medicine | 5939 Harry Hines Blvd Professional Building 2 Suite 700, Dallas, TX 75390-2612 | 2013-05-27 |
| 1922443001 | Jamil Sami Alsahhar | Internal Medicine | 3410 Worth St Ste 860, Dallas, TX 75246-2064 | 2013-05-03 |
| 1144578378 | Rushikesh H Shah | Internal Medicine | 3417 Gaston Ave Ste 790, Dallas, TX 75246-2031 | 2012-08-20 |
| 1265719140 | Premier Gastroenterology of Texas Pa | Internal Medicine | 7777 Forest Lane Bldg. C, Suite 204, Dallas, TX 75230-2513 | 2011-11-07 |
| 1922396001 | Tarek Sawas | Internal Medicine | 1801 Inwood Rd Fl 6, Dallas, TX 75235-7202 | 2011-07-11 |
| 1023305281 | Soren Gandhi | Internal Medicine | 3430 W Wheatland Rd Ste 109, Dallas, TX 75237-3447 | 2011-07-07 |
| 1881854305 | Ravikanth Maddipati | Internal Medicine | 1801 Inwood Rd 6th Fl Ste 6.102, Dallas, TX 75390 | 2008-06-10 |
| 1609076355 | Amar Mahgoub | Internal Medicine | 3410 Worth St Ste 950, Dallas, TX 75246-2064 | 2007-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.