| Ta | |
|
7676 New Hampshire Ave Ste 418 Takoma Park MD 20912-7516 | |
| (301) 431-0160 | |
| (301) 431-0163 |
| Full Name | Ta |
|---|---|
| Speciality | Internal Medicine |
| Location | 7676 New Hampshire Ave Ste 418, Takoma Park, Maryland |
| Authorized Official Name and Position | Maria Jose Allahyari (CEO) |
| Authorized Official Contact | 3014310160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ta 7676 New Hampshire Ave Ste 418 Takoma Park MD 20912-7516 Ph: (301) 431-0160 | Ta 7676 New Hampshire Ave Ste 418 Takoma Park MD 20912-7516 Ph: (301) 431-0160 |
| NPI Number | 1598186256 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 12/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598186256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | (* (Not Available)) | Secondary |
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