Organization
ANI TAJIRIAN, MD
Active
Organization
ANI TAJIRIAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANI L TAJIRIAN MD (OWNER/PRESIDENT)
(510) 839-2937
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 839-2937
(510) 452-2152
Mailing address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 839-2937
(510) 452-2152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A119900
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A119900
CA
207NS0135X
Procedural Dermatology Physician
A119900
CA
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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