Provider Demographics
NPI:1558686006
Name:AL-TALIB, TALA KHALID (MD)
Entity Type:Individual
Prefix:
First Name:TALA
Middle Name:KHALID
Last Name:AL-TALIB
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR RM 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-933-1390
Practice Address - Street 1:10755 FALLS RD STE 360
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4671
Practice Address - Country:US
Practice Address - Phone:410-328-5756
Practice Address - Fax:410-328-0267
Is Sole Proprietor?:No
Enumeration Date:2010-03-27
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MDD75856207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease