Individual
BEVERLY TAMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2175 FAIR HILL DR, ALLEN, TX 75013-5659
(214) 868-4553
Mailing address
1720 E CESAR E CHAVEZ AVE, NORTH BUILDING, LOS ANGELES, CA 90033
(214) 868-4553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A143722
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A143722
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
05/11/2015
Last updated
12/23/2021
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