Healthcare Provider Details

I. General information

NPI: 1407441934
Provider Name (Legal Business Name): HOSAMEDDINE TALAB
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVENUE BETHESDA MD 20889
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

PO BOX 7411626
CHICAGO IL
60674-5626
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-5457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2026017472
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: