| Doctor Name: | DR. NICKOLAI TALANIN |
| NPI Number: | 1578682894 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101232491 |
| Business Practice Address: | 13880 Braddock Rd Ste 301 Centreville, VA - 201212462 |
| Business Phone Number: | 7032222773 |
| Business Fax Number: | 7032226093 |
| Mailing Address: | 1842 Kalorama Rd Nw, WASHINGTON |
| State: | DC |
| Postal Code: | 200095187 |
| Phone Number: | 2024136496 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101232491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |