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

Tatum Professional Group LLC

Organization Interventional Pain Medicine Physician · NPI 1043850324

Tatum Professional Group LLC is an Interventional Pain Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21001 N Tatum Blvd Ste 78-1640
Phoenix, AZ 85050-5244
Phone: (480) 773-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1043850324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minoo Rahimi — Cfo · (480) 926-7800
NPI enumeratedJanuary 14, 2020
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020
Mailing address2250 E Germann Rd Ste 8, Chandler, AZ 85286-1575

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