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TATUM PROFESSIONAL GROUP LLC
NPI 1043850324
Pain Medicine - Interventional Pain Medicine in Phoenix, AZ

Active since January 14, 2020
21001 N TATUM BLVD STE 78-1640, PHOENIX, AZ 85050(480) 773-7662 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Jan 14, 2020 (2 updates tracked since 2020).

About Tatum Professional Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATUM PROFESSIONAL GROUP LLC (NPI 1043850324) is a healthcare organization registered as an interventional pain medicine in Phoenix, Arizona and active in the NPI registry since January 2020. The organization lists Minoo Rahimi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043850324
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameTATUM PROFESSIONAL GROUP LLC
Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244
Mailing Address2250 E Germann Rd Ste 8Chandler, AZ 85286-1575
Phone(480) 773-7662
Organization SubpartNo
Authorized OfficialMinoo RahimiCfo · (480) 926-7800
Enumeration DateJanuary 14, 2020
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1043850324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BFDRMP MEDICAL GROUP LLC
General Practice
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 306-7832
DV ANESTHESIA GROUP LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DV PROFESSIONAL GROUP LLC
Pain Medicine (Interventional Pain Medicine)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
DESERT RIDGE FACILITY LLC
Clinic/Center (Ambulatory Surgical)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 926-7800
DRPS IOM PROFESSIONAL LLC
Psychiatry & Neurology (Neurology)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 773-7662
ARIZONA VASCULAR PROFESSIONALS, LLC
Clinic/Center (Multi-Specialty)
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (440) 655-9114
DEER VALLEY MEDICAL GROUP. LLC
General Practice
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (480) 306-7832
DESERT RIDGE MEDICAL GROUP ANESTHESIA LLC
Anesthesiology
21001 N TATUM BLVD STE 78-1640
PHOENIX, AZ 85050
Maricopa County (602) 930-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatum Professional Group LLC's NPI number?

The NPI number for Tatum Professional Group LLC is 1043850324. It was assigned to this organization in the NPPES registry on January 14, 2020.

Where is Tatum Professional Group LLC located?

Tatum Professional Group LLC is located at 21001 N Tatum Blvd Ste 78-1640, Phoenix, AZ 85050. The listed phone number is (480) 773-7662.

What is Tatum Professional Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Tatum Professional Group LLC was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.