IndividualActive
Alireza Tavasoli, MD
NPI 1346930138 · Neurology with Special Qualifications in Child Neurology Physician · Phoenix, AZ
Provider details
- NPI number
- 1346930138
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28224 (ZZ)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 28224 (ZZ)
Allopathic & Osteopathic Physicians
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0970
Approximate (ZIP-level) locationGet directions
Mailing address
150 E Wynnewood Rd Apt 28f
Wynnewood, PA 19096-1508
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2023-05-15
- Certified
- 2023-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.