Provider Demographics
NPI:1144455361
Name:TEJANI, EMILY (MD MPH)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:TEJANI
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:TEJANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:45 SAN CLEMENTE DR
Mailing Address - Street 2:SUITE D230E
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1244
Mailing Address - Country:US
Mailing Address - Phone:415-510-2204
Mailing Address - Fax:
Practice Address - Street 1:45 SAN CLEMENTE DR
Practice Address - Street 2:SUITE D230E
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1244
Practice Address - Country:US
Practice Address - Phone:415-510-2204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1297892084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry