Individual
DR. EMAD GUIRGUS TADROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3914 THIRD AVENUE, SAN DIEGO, CA 92103-3095
(619) 291-4808
(619) 291-4426
Mailing address
510 W VISTA WAY, VISTA, CA 92083-5704
(858) 775-2122
(619) 291-4426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A49500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A495000
—
CA
01
—
36378166594C
ECFMG
—
01
—
91504830158
MEID
—
Enumeration date
06/12/2006
Last updated
09/30/2024
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