Abila Violet Tazanu, MD is a
Pediatrics physician based in Lanham, Maryland. Abila Violet Tazanu is licensed to practice in Maryland (license number D0055053) and her current practice location is 7401 Forbes Blvd Ste A, Lanham, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 618-8395.
NPI number for Abila Violet Tazanu is 1922043017 and her current mailing address is 7401 Forbes Blvd Ste A, Lanham, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922043017.
Physician's Profile
| Full Name | Abila Violet Tazanu |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 7401 Forbes Blvd Ste A, Lanham, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922043017
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Abila Violet Tazanu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922043017 | NPI | - | NPPES |
| 685801500 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | CS1100020 (District Of Columbia) | Secondary |
| 208000000X | Pediatrics | D0055053 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abila Violet Tazanu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Abila Violet Tazanu, MD 7401 Forbes Blvd Ste A, Lanham, MD 20706-2288 Ph: (301) 618-8395 | Abila Violet Tazanu, MD 7401 Forbes Blvd Ste A, Lanham, MD 20706-2288 Ph: (301) 618-8395 |
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