Individual
YAHIA M. TAGOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650
(410) 828-8100
(410) 882-3310
Mailing address
8725 LOCH RAVEN BLVD, SUITE 200, BALTIMORE, MD 21284
(410) 828-8100
(410) 882-3310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0050883
MD
207ZP0101X
Anatomic Pathology Physician
Primary
D0050883
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
796460900
—
MD
Enumeration date
10/23/2006
Last updated
02/23/2012
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