Provider Demographics
NPI:1790914091
Name:POWELL, TASHA RENEE (MD)
Entity type:Individual
Prefix:DR
First Name:TASHA
Middle Name:RENEE
Last Name:POWELL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14362 N FRANK LLOYD WRIGHT BLVD STE 1340
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8878
Mailing Address - Country:US
Mailing Address - Phone:480-770-0427
Mailing Address - Fax:480-770-0428
Practice Address - Street 1:14362 N FRANK LLOYD WRIGHT BLVD STE 1340
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8878
Practice Address - Country:US
Practice Address - Phone:480-770-0427
Practice Address - Fax:480-770-0428
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK1088622084N0400X
VA01012491042084N0400X
WAMD605529382084N0400X
AZ601902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology