Provider Demographics
NPI:1225240195
Name:TABRIZI, KATAYOUN (MD)
Entity Type:Individual
Prefix:
First Name:KATAYOUN
Middle Name:
Last Name:TABRIZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51337
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717-1337
Mailing Address - Country:US
Mailing Address - Phone:919-403-1013
Mailing Address - Fax:
Practice Address - Street 1:3001 ACADEMY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2660
Practice Address - Country:US
Practice Address - Phone:919-403-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC344742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry