# TAYLORED UROGYN CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295465714
- **Authorized official:** DR. AISHA KHALALI TAYLOR MD (UROGYNECOLOGIC SPECIALIST)
- **Authorized official phone:** (312) 450-4883

## Contact information

- **Practice address:** 2164 NOTTOWAY DRIVE, HANOVER, MD 21076-1095
- **Practice address phone:** (667) 274-3333
- **Mailing address:** 2657G ANNAPOLIS RD \# 327, HANOVER, MD 21076-1262
- **Mailing address phone:** (667) 274-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022