Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAHA BOURGO
Active Sole ProprietorTAHA BOURGO is a Van Provider healthcare provider located in PRINCESS ANNE, Maryland. NPI 1972931285 is currently active in the NPPES registry. Verify at CMS.
Van Provider · PRINCESS ANNE, MD
Registration Details
- NPI Number
- 1972931285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2013 (12.805129531678 yrs)
- Last Updated
- Oct 23, 2013
- License
-
B620785298002 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12450 INDEPENDENCE CT APT A5PRINCESS ANNE, MD, 218533022Browse MD providers · Browse ZIP 21853
- Phone
- 4437222111
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.