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

Dr. Panteha Tavassol

Individual provider Emergency Medicine Physician · NPI 1750959433

Dr. Panteha Tavassol is an Emergency Medicine in Farmington Hills, Michigan. Qualified in 2021, 5 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
5
Licensed in
CA, MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone: (947) 521-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5151015258 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 22265 (CA)

Record details

NPI number1750959433
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2021
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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