IndividualActive
Ali Tavakkoli, MD
NPI 1124104591 · Surgery Physician · Boston, MA
Provider details
- NPI number
- 1124104591
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 212489 (MA)
Practice location
75 Francis St
Brigham and Womens Hospital
Boston, MA 02115-6110
Phone: (617) 732-6337
Fax: (617) 734-0336
Mailing address
111 Cypress St
Brookline, MA 02445
Registry dates
- Enumerated
- 2006-10-28
- Last updated
- 2012-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.