Abila Violet Tazanu, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0055053 Issued in MD

Practice address

7401 Forbes Blvd Ste a
Lanham, MD 20706-2288

Phone

(301) 618-8395

Fax

(301) 618-8396

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Abila Violet Tazanu-Legall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum of Hope-Health Wellness and Community Services

  • Health Service Clinic/Center
  • Riverdale, MD
  • NPI 1023776374
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922043017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062288",
            "telephone_number": "301-618-8395",
            "fax_number": "301-618-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 FORBES BLVD STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062288",
            "telephone_number": "301-618-8395",
            "fax_number": "301-618-8396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Forbes Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062288",
            "country_code": "US",
            "telephone_number": "301-618-8395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZANU",
        "first_name": "ABILA",
        "middle_name": "VIOLET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "CS1100020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0055053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685801500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABILA",
            "last_name": "TAZANU-LEGALL",
            "middle_name": "VIOLET",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keisha Nicole Taylor
• Olivia Frances Taylor
• Oluwatosin Tosin M Taylor
• Dorcas Omah Tayong
• Njicheh Tazano
• Anyikeng Helen Tazoche
• Prince Mbecha Tazoche
• Anita M Tazoh
• Faustin Tchakoute
• Nadege M Tchuenkam Kamku

• Pediatrics Physician in Lanham, MD
• Providers in Lanham, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.