Tarah Michelle Burton, MD
Student in an Organized Health Care Education/Training Program in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1144070723
StatusActive
Last updated in NPPESApr 26, 2026
Details
- NPI
- 1144070723
- Entity type
- Individual (NPI-1)
- Name
- Tarah Michelle Burton
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2024
- Certification date
- Apr 26, 2026
- Last updated
- Apr 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 207R00000X | Internal Medicine | 0116039232 | VA | |
| 207R00000X | Internal Medicine | D0105601 | MD |
Practice location
655 Watkins Mill RdGaithersburg, MD 20879-3301
Phone 240-632-4021
Mailing address
655 Watkins Mill RdGaithersburg, MD 20879-3301
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