Homayon M. Tavakoli, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD-7153 Issued in HI

Practice address

1325 S. Kihei Rd.
Suite # 103
Kihei, HI 96753

Phone

(808) 879-7781

Fax

(808) 879-0594

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Care Maui Inc.

  • General Practice Physician
  • Kihei, HI
  • NPI 1124249230
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003037052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S. KIHEI RD.",
            "address_2": "SUITE # 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-879-7781",
            "fax_number": "808-879-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S. KIHEI RD.",
            "address_2": "SUITE # 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-879-7781",
            "fax_number": "808-879-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "HOMAYON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-7153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charme Taksony
• George L. Talbot Jr., MD
• Mary Tancig, ELECTROLOGIST
• Tapler Counseling LLC
• Joel Tapler
• Dianna J Tavares
• Cathrine Tellez Perez
• Linda M Tetor, MD
• Maribeth Theisen, MSW, LCSW
• Therapeutic Fusion: Physical Therapy and Wellness,LLC

• General Practice Physician in Kihei, HI
• Providers in Kihei, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.