Provider Demographics
NPI:1518763523
Name:TAAH, SANDRA ABOH
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ABOH
Last Name:TAAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12318 SANDY POINT CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1875
Mailing Address - Country:US
Mailing Address - Phone:202-344-0491
Mailing Address - Fax:
Practice Address - Street 1:12318 SANDY POINT CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1875
Practice Address - Country:US
Practice Address - Phone:202-344-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide