Active NPI
Nouran Waleed Molla, MBBS
- Student in an Organized Health Care Education/Training Program
- Washington, DC
National Provider Identifier
1154983724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MTL005324
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-2000
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | MTL005324 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MTL005324 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
3640 Al Sa'Adah Street, Alyasmeen District
Building Number 13/a
Riyadh, RIYADH 13325
SA
Other practice location 1
1414 Rue Chomedey
Apt #804
Montreal, QC H3H0A2
CA
Phone (514) 550-8773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL005324 | DC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1154983724",
"addresses": [
{
"country_code": "SA",
"country_name": "Saudi Arabia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3640 AL SA'ADAH STREET, ALYASMEEN DISTRICT",
"address_2": "BUILDING NUMBER 13/A",
"city": "RIYADH",
"state": "RIYADH",
"postal_code": "13325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-2000"
}
],
"practiceLocations": [
{
"address_1": "1414 Rue Chomedey",
"address_2": "Apt #804",
"address_purpose": "LOCATION",
"city": "Montreal",
"state": "QC",
"postal_code": "H3H0A2",
"country_code": "CA",
"telephone_number": "514-550-8773",
"country_name": "Canada",
"address_type": "FGN"
}
],
"basic": {
"last_name": "MOLLA",
"first_name": "NOURAN",
"middle_name": "WALEED",
"name_prefix": "Ms.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "DC",
"license": "MTL005324",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "MTL005324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.