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NPI Code Detail

MEDICARE: TAIF MUKHDOMI M.D.

MEDICARE:   TAIF  MUKHDOMI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) PhysicianLP04360RI
2207L00000XAnesthesiology Physician75027AZ
3208VP0014XInterventional Pain Medicine Physician35.144105OH
4208VP0014XInterventional Pain Medicine Physician309546-01NY

General Provider Information

NPI Number : 1427583566
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAIF MUKHDOMI M.D.
Provider Business Mailing Address
First Line : PO BOX 738247
Second Line :
City : DALLAS
State : TX
Zip : 75373-8247
Country : US
Telephone Number : 614-647-2526
Fax Number : 877-409-2415
Provider Business Practice Location Address
First Line : 1200 N BEAVER ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3118
Country : US
Telephone Number : 928-779-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2017
Last Update Date : 05/21/2026

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Directions to “ TAIF MUKHDOMI M.D.” Practice Location

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