Individual provider · Type 1 NPI

Aydin Tavakoli, MD, MSC, BSC

Student in an Organized Health Care Education/Training Program · Kalamazoo, MI

NPI number 1073929600 Active

Practice location

1000 Oakland Dr
Kalamazoo, MI 49008-1282

Call (269) 337-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XXXX (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000X1073929600 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073929600

Aydin Tavakoli, MD, MSC, BSC's National Provider Identifier is 1073929600, issued on Jul 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kalamazoo, MI. The record was last updated on Jun 15, 2015.