DR. Keven Tagdiri, M.D.

NPI #1922000694 in Encinitas, California

Provider Information

NPI Number: 1922000694
Entity Type: Individual
Name: DR. Keven Tagdiri, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 12, 2005
Last Updated: May 16, 2008

Practice Location

Address: 4401 MANCHESTER AVE
Address 2: SUITE 103
City: Encinitas
State: California
ZIP Code: 92024-4938
Phone: (858) 756-3021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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