Individual provider · Type 1 NPI

Tahira Fardous, MD

Student in an Organized Health Care Education/Training Program · Victorville, CA

NPI number 1821843426 Active

Practice location

16716 Bear Valley Rd
Victorville, CA 92395

Call (760) 241-8000 Map

Mailing address

16716 Bear Valley Road
Victorville, CA 92395

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821843426

Tahira Fardous, MD's National Provider Identifier is 1821843426, issued on Apr 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Victorville, CA. The record was last updated on Dec 16, 2024.