Tak, Abdul
Tak, Abdul is an sole proprietor health care provider with primary practice located at 8860 Columbia 100 Pkwy , Columbia MD 21045-2195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tak, Abdul can be contacted via phone (410) 715-4704.Contact Information
Primary practice address
8860 Columbia 100 Pkwy
Columbia MD 21045-2195
Phone: (410) 715-4704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | D0060936 | Maryland |
Profile Details
| NPI number | 1306899968 |
|---|---|
| LBN Legal business name | Tak, Abdul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306899968 | NPPES |
| Maryland | MEDICAID | 451601000 |
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