Keven Tagdiri M.d., Inc. is a
Internal Medicine based in Encinitas, California. Keven Tagdiri M.d., Inc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
4401 Manchester Ave, Suite 103, Encinitas, California. It can be reached at their office (for appointments etc.) via phone at
(858) 756-3021.
NPI number for Keven Tagdiri M.d., Inc. is 1760722433 and their current mailing address is 4401 Manchester Ave, Suite 103, Encinitas, California. Keven Tagdiri M.d., Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760722433.
Healthcare Provider's Profile
| Full Name | Keven Tagdiri M.d., Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 4401 Manchester Ave, Encinitas, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760722433
- Provider Enumeration Date: 02/18/2013
- Last Update Date: 02/19/2013
Medical Identifiers
Medical identifiers for Keven Tagdiri M.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760722433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 871851 (* (Not Available)) | Secondary |
| 136A00000X | Dietetic Technician, Registered | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keven Tagdiri M.d., Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keven Tagdiri M.d., Inc. 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 Ph: (858) 756-3021 | Keven Tagdiri M.d., Inc. 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 Ph: (858) 756-3021 |
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