Provider Demographics
NPI:1851251441
Name:KIRNA, TAMIRU TABA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TAMIRU
Middle Name:TABA
Last Name:KIRNA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 1/2 MCHENRY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-2133
Mailing Address - Country:US
Mailing Address - Phone:240-821-3485
Mailing Address - Fax:
Practice Address - Street 1:809 1/2 MCHENRY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-2133
Practice Address - Country:US
Practice Address - Phone:240-821-3485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0135883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist