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NPI Code Detail

MEDICARE: TARAH MICHELLE BURTON MD

MEDICARE: TARAH MICHELLE BURTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0116039232VA
2390200000XStudent in an Organized Health Care Education/Training Program
3207R00000XInternal Medicine PhysicianD0105601MD

General Provider Information

NPI Number : 1144070723
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARAH MICHELLE BURTON MD
Provider Business Mailing Address
First Line : 655 WATKINS MILL RD
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20879-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 655 WATKINS MILL RD
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20879-3301
Country : US
Telephone Number : 240-632-4021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 04/26/2026

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