Stewart, Tahira
Stewart, Tahira is an sole proprietor health care provider with primary practice located at 4455 W 117Th St #300, Hawthorne CA 90250-2241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stewart, Tahira can be contacted via phone (310) 645-0444.Contact Information
Primary practice address
4455 W 117Th St #300
Hawthorne CA 90250-2241
Phone: (310) 645-0444
Fax: (310) 978-0599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A96337 | California |
Profile Details
| NPI number | 1912189663 |
|---|---|
| LBN Legal business name | Stewart, Tahira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Dec 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912189663 | NPPES |
| California | Other | A96337 | LICENSE |
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