Takha, Siyami Egbase

Takha, Siyami Egbase is an sole proprietor health care provider with primary practice located at 12070 Old Line Ctr Ste 209 , Waldorf MD 20602-2567. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Takha, Siyami Egbase can be contacted via phone (202) 705-4133.

Contact Information

Primary practice address
12070 Old Line Ctr Ste 209 Waldorf MD 20602-2567
Phone: (202) 705-4133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R194882 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R194882 Maryland

Profile Details

NPI number 1760995021
LBN Legal business name Takha, Siyami Egbase
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2017
Last updated Apr 26th, 2023 - about 2 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.

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