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NPI Code Detail

MEDICARE: ROOZBEH TAEED MD

MEDICARE: ROOZBEH TAEED MD
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
12080P0202XPediatric Cardiology PhysicianJ4550TX
22080P0203XPediatric Critical Care Medicine PhysicianJ4550TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1167575309OTHERTXCSHCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003822826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROOZBEH TAEED MD
Provider Business Mailing Address
First Line : 715 E 43RD ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-3912
Country : US
Telephone Number : 210-557-1218
Fax Number :
Provider Business Practice Location Address
First Line : 4900 MUELLER BLVD # 2H.012C
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3051
Country : US
Telephone Number : 512-324-3360
Fax Number : 512-380-7532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 01/16/2023

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