Provider Demographics
NPI:1629818281
Name:TAHA, ABDUL RAHMAN (MD)
Entity type:Individual
Prefix:MR
First Name:ABDUL RAHMAN
Middle Name:
Last Name:TAHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVENUE, NW.
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-476-3670
Mailing Address - Fax:202-476-4740
Practice Address - Street 1:111 MICHIGAN AVENUE, NW.
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-476-3670
Practice Address - Fax:202-476-4740
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2025-03-03
Deactivation Date:2025-01-14
Deactivation Code:
Reactivation Date:2025-03-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program