MEDICARE: DR. JAHAN TAVAKOLI 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
1	207RH0003X	Hematology & Oncology Physician	A116715	CA

General Provider Information

NPI Number	:	1942214887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAHAN TAVAKOLI M.D.

Provider Business Mailing Address
First Line	:	2238 GEARY BLVD FL 8
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3416
Country	:	US
Telephone Number	:	415-833-5156
Fax Number	:

Provider Business Practice Location Address
First Line	:	2238 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3416
Country	:	US
Telephone Number	:	415-833-5156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	01/27/2025

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