Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | C54453 | CA |
NPI | 1104807239 |
---|---|
Provider Name | Elif Seda Selamet Tierney |
First Address | Palo Alto, CA 94304-1507 |
Second Address | Palo Alto, CA 94304-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 04/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2080371 | (05) | MA |
ES56662 | (05) | RI |
I14724 | (02) |