Individual
DR. VICTOR MANUEL TEJADA
Active
Individual
DR. VICTOR MANUEL TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28907
NC
2084P0804X
Child & Adolescent Psychiatry Physician
28907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578763686
HUMANA
NC
05
—
1578763686
—
NC
01
—
170407-000
MAGELLAN
NC
01
—
82334
BCBS
NC
Enumeration date
07/18/2007
Last updated
10/12/2017
Update your record
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