Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R204638 | MD |
NPI | 1255896866 |
---|---|
Provider Name | Milka Taka |
First Address | Gaithersburg, MD 20877-3319 |
Second Address | Silver Spring, MD 20901-1562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2019 |
Last Update Date | 19/11/2019 |