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OSMAN AHMEDTAHA M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1598140105

Individual Registrant:
 OSMAN  AHMEDTAHA M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
24 HOSPITAL AVE  DANBURY, CT 06810-6099 US
Tel: 203-739-6980  Fax: --

Contact information for business:
PO BOX 1171  ANNANDALE, VA 22003-9171 US
Tel: 646-236-8068  Fax: --

Registration Information:
NPI: 1598140105
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101264262
Y208M00000XAllopathic & Osteopathic Physicians
Hospitalist
CT61923

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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