MEDICARE: TAVI THONGDY 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
1	2084P0800X	Psychiatry Physician	A112549	CA
2	2084P0800X	Psychiatry Physician	24990	NV

General Provider Information

NPI Number	:	1649433939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAVI THONGDY MD

Provider Business Mailing Address
First Line	:	3300 N TRIUMPH BLVD STE 500
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84043-6475
Country	:	US
Telephone Number	:	725-235-7883
Fax Number	:

Provider Business Practice Location Address
First Line	:	7455 W WASHINGTON AVE STE 460
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-4338
Country	:	US
Telephone Number	:	725-235-7883
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	07/31/2025

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Directions to “ TAVI THONGDY MD” Practice Location

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