Provider Demographics
NPI:1861847386
Name:OH, TAYLOR V (MSD)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:V
Last Name:OH
Suffix:
Gender:M
Credentials:MSD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5361 BLACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-3709
Mailing Address - Country:US
Mailing Address - Phone:571-332-5211
Mailing Address - Fax:
Practice Address - Street 1:5361 BLACK OAK DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-3709
Practice Address - Country:US
Practice Address - Phone:571-332-5211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000269171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist