KYROLLOS TAWFIK M.D. NPI 1265812259

NPI Information

NPI: 1265812259
Provider Name: KYROLLOS TAWFIK, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA
ZIP 20191
Phone: (703) 783-5355
Get Directions

Kyrollos Tawfik, M.D. is a vascular and interventional radiology radiology in Reston, VA with 9 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Kyrollos Tawfik, M.D. NPI is 1265812259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA
ZIP 20191-461
Phone: (703) 783-5355
Fax: (703) 348-6376

The NPI 1265812259 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 10/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	MD83975LL	SOUTH CAROLINA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	A147907	CALIFORNIA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	0101276235	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265812259	MEDICAID	VIRGINIA
2	30017504660001	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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