Individual provider Active NPI

Sawsan Attia Talib, M.D.

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
National Provider Identifier
1740207463
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101040478 Issued in VA
Practice address
5791 Winston CT
Suite# 160
Alexandria, VA 22311-5822
Phone
(703) 578-0500
Fax
(703) 671-2357
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 0101040478 VA Primary

Addresses

Primary practice location

5791 Winston CT
Suite# 160
Alexandria, VA 22311-5822

Mailing address

5791 Winston CT
Suite# 160
Alexandria, VA 22311-5822
Phone (703) 578-0500

Other identifiers 1

IdentifierTypeStateIssuer
6700039MedicaidVA

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

LicenseStateTypeSpecialty
0101040478VAMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740207463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 WINSTON CT",
            "address_2": "SUITE# 160",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115822",
            "telephone_number": "703-578-0500",
            "fax_number": "703-671-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 WINSTON CT",
            "address_2": "SUITE# 160",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115822",
            "telephone_number": "703-578-0500",
            "fax_number": "703-671-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIB",
        "first_name": "SAWSAN",
        "middle_name": "ATTIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101040478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700039",
            "state": "VA"
        }
    ],
    "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 9, 2007; 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.