| Diane Adaku Tackie, PA-C | |
| 40 York Rd Ste 110, Towson, MD 21204-5243 | |
| (202) 951-7942 | |
| (202) 971-1991 | 
| Full Name | Diane Adaku Tackie | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 40 York Rd Ste 110, Towson, Maryland | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871894808 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C04246 (Maryland) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Diane Adaku Tackie, PA-C 40 York Rd Ste 110, Towson, MD 21204-5243 Ph: (202) 951-7942 | Diane Adaku Tackie, PA-C 40 York Rd Ste 110, Towson, MD 21204-5243 Ph: (202) 951-7942 | 
| Gregory D Marchesiello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave, Suite 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321 | |
| Lauren Bell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
| Nahid Gooya,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 8000 York Rd, Towson, MD 21252 Phone: 410-704-2000 | |
| Ms. Rafaelina Martinez, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
| Casey Kennedy Rogers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 877-346-2211 Fax: 626-623-1227 | |
| Lauren Whittaker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8000 York Road, Health Professions Ste 4100, Towson, MD 21252 Phone: 410-704-2000 | |
| Katelyn Hebeisen, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Sister Pierre Dr Ste 403, Towson, MD 21204 Phone: 410-823-6408 |