Healthcare Provider Details

I. General information

NPI: 1851886154
Provider Name (Legal Business Name): SARA A. TAHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ABOUBAKR MOSTAFA M. TAHA

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

IV. Provider business mailing address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-2200
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-4200
  • Fax: 302-733-2711
Mailing address:
  • Phone: 302-733-4200
  • Fax: 302-733-2711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101271991
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0025632
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: