Individual
DR. IDDRISU AHMED TIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 MARBURTH AVE, TOWSON, MD 21286-1144
(301) 793-8201
Mailing address
108 MARBURTH AVE, TOWSON, MD 21286-1144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D098003
MD
Other
Enumeration date
05/11/2020
Last updated
12/13/2023
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