Kelan G. Tantisira, MDMPH
Kelan G. Tantisira, MDMPH is a Pulmonary Disease Physician in San Diego, California. Licensed in California and Massachusetts. Registered with an NPI since 2006.
- Licensed in
- CA, MA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
3030 Childrens WaySan Diego, CA 92123-4232
Phone: (858) 966-5846
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Specialties & licences
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X · Licence G67143 (CA) |
|---|---|
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 155411 (MA) |
| Pediatrics Physician | Taxonomy 208000000X · Licence G67143 (CA) |
Record details
| NPI number | 1760420434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDMPH |
| Sole proprietor | No |
| NPI enumerated | June 3, 2006 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | January 7, 2021 |
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