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NPI Code Detail

MEDICARE: MOHAMEDTAKI ABDULAZIZ TEJANI M.D.

MEDICARE: MOHAMEDTAKI ABDULAZIZ TEJANI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianPENDINGCT
2207RH0003XHematology & Oncology Physician003764NY
3207RX0202XMedical Oncology PhysicianME139844FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861606717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMEDTAKI ABDULAZIZ TEJANI M.D.
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number : 407-303-2024
Fax Number : 407-303-2038
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number : 407-303-2024
Fax Number : 407-303-2038
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/17/2019

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