| Doctor Name: | TAZEEN MAUDUDI |
| NPI Number: | 1811100571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | PSYCHIATRIC RESIDENT |
| Business Practice Address: | 900 E Main St Norman, OK - 730715305 |
| Business Phone Number: | 4055736602 |
| Business Fax Number: | 4055736684 |
| Mailing Address: | 1120 E Main St, NORMAN |
| State: | OK |
| Postal Code: | 730715300 |
| Phone Number: | 4055733812 |
| Fax Number: | 4055733806 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 02/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | PSYCHIATRIC RESIDENT |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |