NPIMap

Organization Active NPI

Nabeela Tabassum MD PC

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1417300054
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101249396 Issued in VA
Legal business name
NABEELA TABASSUM MD PC
Practice address
4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709
Phone
(703) 750-0108
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Nabeela Tabassum, M.D.NPI 1013185206
Title
Physician
Phone
(703) 750-0108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101249396 VA Primary

Addresses

Primary practice location

4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709

Mailing address

4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709
Phone (703) 750-0108

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1417300054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST",
            "address_2": "SUITE 303",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "703-750-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST",
            "address_2": "SUITE 303",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "703-750-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABEELA TABASSUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "TABASSUM",
        "authorized_official_first_name": "NABEELA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-750-0108",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101249396",
            "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 Jul 19, 2016; 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.