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

Individual provider Family Nurse Practitioner · NPI 1609485267

Azadeh Tavakolian is a Nurse Practitioner in Richardson, Texas. Qualified in 2020, 6 years ago. Practices with Serge Lartchenko MD, PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

2821 George Bush Hwy Ste 500
Richardson, TX 75082-4278
Phone: (469) 206-6957
Fax: (469) 206-6953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1000014 (TX)

Record details

NPI number1609485267
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2020
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Serge Lartchenko M.D., Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richardson