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Organization
KEVEN TAGDIRI, MD, INC.
Active
Organization
KEVEN TAGDIRI, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVEN TAGDIRI M.D. (PRESIDENT)
(858) 756-3021
Entity
Organization
Contact information
Practice address
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024-4938
(858) 756-3021
Mailing address
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024-4938
(858) 756-3021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01596
CA
Other
Enumeration date
08/12/2005
Last updated
01/25/2010
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