Provider Demographics
NPI:1467217059
Name:TAJANI, AMMAAR
Entity Type:Individual
Prefix:
First Name:AMMAAR
Middle Name:
Last Name:TAJANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 EDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5180
Mailing Address - Country:US
Mailing Address - Phone:817-709-8931
Mailing Address - Fax:
Practice Address - Street 1:2905 EDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5180
Practice Address - Country:US
Practice Address - Phone:817-709-8931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program