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Tri-State Medical Specialists LLC

Pain Medicine Physician in Fort Mohave, AZ · enumerated 2010 · authorized official Knaya Tabora, Owner/Member Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649598426

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Registry record

Entity type Organization (Type 2)
Legal business name Tri-State Medical Specialists LLC
Other name <Unavail>
Practice address 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ, 86426
Phone (928) 788-3333
Fax (928) 788-3555
Enumeration date May 4, 2010
Last updated in NPPES Oct 12, 2023

Taxonomy & classification

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 20605 (AZ) Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians · License 5573 (NY) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 20605 (AZ) Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 5573 (NV) Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP8599 (AZ) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP3760 (AZ) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP8599 (AZ) Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP8599 (AZ) Secondary

Authorized official

Name Knaya Tabora
Title Owner/Member Manager
Phone (928) 788-3333

Other identifiers

Identifier Type State Issuer
527366 Medicaid AZ -
DQ4807 Other AZ MEDICARE RAILROAD GROUP PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tri-State Medical Specialists LLC?
The NPI for Tri-State Medical Specialists LLC is 1649598426, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tri-State Medical Specialists LLC?
NPPES lists Knaya Tabora (Owner/Member Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-12.