Active NPI
Lama Raddaoui, MD
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1639841950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MTL4000375
- Practice address
- 2150 Pennsylvania Avenue, NW
The GW Medical Faculty Associates
Washington, DC 20037 - Phone
- (202) 741-3000
- NPI assigned
- Oct 5, 2021
- Last updated
- Oct 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MTL4000375 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Avenue, NW
The GW Medical Faculty Associates
Washington, DC 20037
Mailing address
2150 Pennsylvania Avenue, NW
The GW Medical Faculty Associates
Washington, DC 20037
Phone (202) 741-3000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL4000375 | DC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1639841950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVENUE, NW",
"address_2": "THE GW MEDICAL FACULTY ASSOCIATES",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20037",
"telephone_number": "202-741-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVENUE, NW",
"address_2": "THE GW MEDICAL FACULTY ASSOCIATES",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20037",
"telephone_number": "202-741-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADDAOUI",
"first_name": "LAMA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MTL4000375",
"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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.