Individual
ABILA VIOLET TAZANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7401 FORBES BLVD STE A, LANHAM, MD 20706-2288
(301) 618-8395
(301) 618-8396
Mailing address
7401 FORBES BLVD STE A, LANHAM, MD 20706-2288
(301) 618-8395
(301) 618-8396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
CS1100020
DC
208000000X
Pediatrics Physician
Primary
D0055053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
685801500
—
MD
Enumeration date
06/20/2006
Last updated
03/17/2018
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