Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | R2757 | TX |
NPI | 1063830230 |
---|---|
Provider Name | Nadeem Tajuddin |
First Address | Houston, TX 77089-6048 |
Second Address | Houston, TX 77089-6048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 07/05/2019 |