Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kamyar David Tavakoli Physician PLLC

Organization Internal Medicine Physician · NPI 1396991774

Kamyar David Tavakoli Physician PLLC is an Internal Medicine Physician in Hollis, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19115 Hillside Ave
Hollis, NY 11423-1941
Phone: (718) 217-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 190615 (NY)

Record details

NPI number1396991774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Tavakoli — Bookkeeper · (718) 217-5200
NPI enumeratedAugust 17, 2008
Last updated in NPPESAugust 17, 2008
Mailing address19115 Hillside Ave, Hollis, NY 11423-1941

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