Organization Active NPI

Tambi Medical LLC

  • Primary Care Clinic/Center
  • Alexandria, VA
National Provider Identifier
1336866763
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TAMBI MEDICAL LLC
Practice address
30 S Quaker LN Ste 201
Alexandria, VA 22314-4596
Phone
(443) 370-5348
Fax
(443) 855-6394
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Innocent Monya-Tambi, MDNPI 1386829679
Title
Attending Physician
Phone
(443) 370-5348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

30 S Quaker LN Ste 201
Alexandria, VA 22314-4596

Mailing address

2890 Ordway Dr
Ellicott City, MD 21042-1038
Phone (443) 370-5348

National Provider Directory

National Provider Directory

Locations

30 S Quaker Ln
Ste 201
Alexandria, VA 22314
Phone (443) 370-5348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1336866763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 ORDWAY DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421038",
            "telephone_number": "443-370-5348",
            "fax_number": "443-855-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S QUAKER LN STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144596",
            "telephone_number": "443-370-5348",
            "fax_number": "443-855-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMBI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MONYA-TAMBI",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "443-370-5348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.