Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | A32473 | CA |
N | 2080N0001X | Neonatal-Perinatal Doctor | A32473 | CA |
NPI | 1114008067 |
---|---|
Provider Name | Nasir Tejani |
First Address | Long Beach, CA 90815 |
Second Address | Long Beach, CA 90815-4731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 06/04/2017 |