Healthcare Provider Details

I. General information

NPI: 1992871289
Provider Name (Legal Business Name): SADAF TAIMUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46B THOMAS JOHNSON DR STE 200
FREDERICK MD
21702-4501
US

IV. Provider business mailing address

46 B THOMAS JOHNSON DR SIITE # 200
FREDERICK MD
21702-5401
US

V. Phone/Fax

Practice location:
  • Phone: 301-695-6777
  • Fax: 301-695-4852
Mailing address:
  • Phone: 301-695-6777
  • Fax: 301-695-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD691961
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: