Individual
DR. ABDUL TAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8860 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2195
(410) 715-4704
Mailing address
8860 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2195
(410) 715-4704
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0060936
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451601000
—
MD
Enumeration date
05/17/2006
Last updated
09/19/2024
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