Healthcare Provider Details

I. General information

NPI: 1972761229
Provider Name (Legal Business Name): SABIR TAJ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13026 HIGHGROVE RD
HIGHLAND MD
20777-9587
US

IV. Provider business mailing address

13026 HIGHGROVE RD
HIGHLAND MD
20777-9587
US

V. Phone/Fax

Practice location:
  • Phone: 312-576-8564
  • Fax:
Mailing address:
  • Phone: 312-576-8564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD041344
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0075861
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberD0075861
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD041344
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: