Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A116566 | CA |
Y | 2084N0402X | Child Neurologist | A116566 | CA |
NPI | 1013118454 |
---|---|
Provider Name | Dr. Sharief Khalil Taraman |
First Address | Orange, CA 92868-4203 |
Second Address | Orange, CA 92868-4203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 22/05/2014 |