Tazanu, Abila Violet

Tazanu, Abila Violet is an individual health care provider with primary practice located at 7401 Forbes Blvd Ste A , Lanham MD 20706-2288. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tazanu, Abila Violet can be contacted via phone (301) 618-8395.

Contact Information

Primary practice address
7401 Forbes Blvd Ste A Lanham MD 20706-2288
Phone: (301) 618-8395
Fax: (301) 618-8396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X CS1100020 District of Columbia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0055053 Maryland

Profile Details

NPI number 1922043017
LBN Legal business name Tazanu, Abila Violet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 17th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922043017 NPPES
Maryland MEDICAID 685801500

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