Active NPI
Christian Talla
- Student in an Organized Health Care Education/Training Program
- Takoma Park, MD
National Provider Identifier
1285045740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IN00003758
- Practice address
- 790 Fairview Ave
Apt 618
Takoma Park, MD 20912-5979 - Phone
- (240) 271-6588
- NPI assigned
- May 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN00003758 | NM | Primary |
Addresses
Primary practice location
790 Fairview Ave
Apt 618
Takoma Park, MD 20912-5979
Mailing address
790 Fairview Ave
Apt 618
Takoma Park, MD 20912-5979
Phone (240) 271-6588
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 |
|---|---|---|---|
| IN00003758 | NM | 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": "1400284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400284800000",
"number": "1285045740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 FAIRVIEW AVE",
"address_2": "APT 618",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209125979",
"telephone_number": "240-271-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 FAIRVIEW AVE",
"address_2": "APT 618",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209125979",
"telephone_number": "240-271-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLA",
"first_name": "CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-17",
"last_updated": "2014-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "IN00003758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.