Active NPI
Tala Amjed Shukri Haddad
- Student in an Organized Health Care Education/Training Program
- Washington, DC
National Provider Identifier
1497542260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 110 Irving St. NW
Dept of Internal Medicine
Washington, DC 20010 - Phone
- (202) 877-8271
- NPI assigned
- Apr 23, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
110 Irving St. NW
Dept of Internal Medicine
Washington, DC 20010
Mailing address
110 Irving St. NW
Dept of Internal Medicine
Washington, DC 20010
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1497542260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST. NW",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST. NW",
"address_2": "DEPT OF INTERNAL MEDICINE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-877-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "TALA",
"middle_name": "AMJED SHUKRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.