Individual
DR. TALA SERI DAJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
100 MEDICAL PARK DR STE 310E, CONCORD, NC 28025-2966
(704) 403-2660
(704) 782-6032
Mailing address
95 SUNWEST DR, ARDEN, NC 28704-8550
(704) 403-2660
(704) 782-6032
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
2021-03357
NC
2080P0205X
Pediatric Endocrinology Physician
28837
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107635
MEDICARE NUMBER
AZ
05
—
882284
—
AZ
Enumeration date
04/05/2006
Last updated
06/28/2024
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