| Keven Tagdiri, Md, Inc. | |
|
4401 Manchester Ave Suite 103 Encinitas CA 92024-4938 | |
| (858) 756-3021 | |
| Not Available |
| Full Name | Keven Tagdiri, Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4401 Manchester Ave, Encinitas, California |
| Authorized Official Name and Position | Keven Tagdiri (PRESIDENT) |
| Authorized Official Contact | 8587563021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keven Tagdiri, Md, Inc. 4401 Manchester Ave Suite 103 Encinitas CA 92024-4938 Ph: (858) 756-3021 | Keven Tagdiri, Md, Inc. 4401 Manchester Ave Suite 103 Encinitas CA 92024-4938 Ph: (858) 756-3021 |
| NPI Number | 1407858178 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407858178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01596 (California) | Primary |
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