Healthcare Provider Details

I. General information

NPI: 1437942034
Provider Name (Legal Business Name): ALIA SAKHI-TABIBI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 NEW HAMPSHIRE AVE
SILVER SPRING MD
20905-5631
US

IV. Provider business mailing address

15200 NEW HAMPSHIRE AVE
SILVER SPRING MD
20905-5631
US

V. Phone/Fax

Practice location:
  • Phone: 301-384-2166
  • Fax:
Mailing address:
  • Phone: 301-384-2166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberR137665
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: