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Daryoush Tavanaiepour, MD
Neurological Surgery Physician in Jacksonville, Florida
NPI 1457560906

Daryoush Tavanaiepour is a Neurological Surgery Physician based in Jacksonville, FL. Daryoush Tavanaiepour practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Daryoush Tavanaiepour is 1457560906 and holds a License No. 0101247523 (Florida).

The current practice location address for Daryoush Tavanaiepour is 580 W 8Th St, Jacksonville, FL and can be reached out via phone at 904-383-1022 and via fax at 904-244-9430.

Location: 580 W 8Th St, Jacksonville, FL, 32231-4008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457560906
Provider Name
Daryoush Tavanaiepour
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
580 W 8Th St, Jacksonville, FL, 32231-4008
Phone Number
904-383-1022
Fax Number
904-244-9430
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14KZ4 01 FL BCBSFL
003125606A 05 GA
005931400 05 FL
institution
Provider Business Practice Location Address Details
Address
580 W 8Th St
City
Jacksonville
State
Florida
Zip
32209-6533
Phone Number
904-383-1022
Fax Number
904-244-9430
person
Provider Business Mailing Address Details
Address
580 W 8Th St
City
Jacksonville
State
Florida
Zip
32209-6533
Phone Number
904-383-1022
Fax Number
904-244-9430
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
0116016383 (Virginia)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101247523 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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