Active NPI
Sawsan Attia Talib, M.D.
- Pediatric Adolescent Medicine Physician
- Alexandria, VA
National Provider Identifier
1740207463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 0101040478
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6700039 | Medicaid | VA |
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 |
|---|---|---|---|
| 0101040478 | VA | MD | Pediatric 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.