Keven Tagdiri, Md, Inc.
NPI #1407858178 in Encinitas, California
Provider Information
- NPI Number
- 1407858178
- Entity Type
- Organization
- Organization Name
- Keven Tagdiri, Md, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 12, 2005
- Last Updated
- Jan 25, 2010
Practice Location
- Address
- 4401 MANCHESTER AVE
- Address 2
- SUITE 103
- City
- Encinitas
- State
- California
- ZIP Code
- 92024-4938
- Phone
- (858) 756-3021
Authorized Official
- Name
- DR. KEVEN TAGDIRI, M.D.
- Title
- PRESIDENT
- Phone
- (858) 756-3021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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