Provider Demographics
NPI:1790749679
Name:TAYMOORIAN, HOVIK (DO, PA)
Entity Type:Individual
Prefix:
First Name:HOVIK
Middle Name:
Last Name:TAYMOORIAN
Suffix:
Gender:M
Credentials:DO, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8028 RITCHIE HWY
Mailing Address - Street 2:SUITE 126
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1075
Mailing Address - Country:US
Mailing Address - Phone:410-768-6702
Mailing Address - Fax:410-768-6704
Practice Address - Street 1:8028 RITCHIE HWY
Practice Address - Street 2:SUITE 126
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1075
Practice Address - Country:US
Practice Address - Phone:410-768-6702
Practice Address - Fax:410-768-6704
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0054974207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology