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EMAD TADROS MD A PROF CORP NPI 1811185804


NPI Information

NPI: 1811185804
Provider Name: EMAD TADROS MD A PROF CORP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
4060 FOURTH AVE STE 102
SAN DIEGO, CA
ZIP 92103
Phone: (619) 692-8118
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EMAD TADROS MD A PROF CORP is a psychiatry psychiatry neurology in San Diego, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EMAD TADROS MD A PROF CORP NPI is 1811185804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4060 FOURTH AVE STE 102
SAN DIEGO, CA
ZIP 92103-120
Phone: (619) 692-8118
Fax: (619) 800-7385

The provider's authorized official is Emad G TADROS MD A PROF CORPMd A Prof Corp .
The authorized official title is Psychiatrist and has the following contact phone number (619) 692-8118.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 6/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryA49500CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A495000MEDICAIDCALIFORNIA
2W18489MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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