Keven Tagdiri in Encinitas - Internal Medicine
Keven Tagdiri - NPI 1922000694
Keven Tagdiri is a Internal Medicine in Encinitas, California. Keven Tagdiri practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keven Tagdiri is 1922000694. The last update date is 2008-05-16.
Keven Tagdiri's current location address is 4401 Manchester Ave, Encinitas, California. You can contact this provider via phone number 8587563021. The mailing address for Keven Tagdiri is 4401 Manchester Ave, Encinitas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keven Tagdiri |
|---|---|
| Address | 4401 Manchester Ave, Encinitas, California |
| Phone Number | 8587563021 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922000694 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2008-05-16 |
Provider Mailing Address Detail
| Address | 4401 Manchester Ave |
|---|---|
| City | Encinitas |
| State | California (CA) |
| Post Code | 920244938 |
| Phone Number | 8587563021 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A47779 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A47779 | CA | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keven Tagdiri?
The Keven Tagdiri has been issued the NPI (National Provider Identifier) 1922000694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Keven Tagdiri is physically located?
The Keven Tagdiri is situated at the following address: 4401 Manchester Ave, Encinitas, CA 920244938.
What is Keven Tagdiri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keven Tagdiri is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922000694 to Keven Tagdiri?
The Centers for Medicare & Medicaid Services originally issued the 1922000694 to Keven Tagdiri on 2005-08-12.
As of what date were the details related to Keven Tagdiri most recently updated or revised?
The information pertaining to Keven Tagdiri, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-16.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA