Basic Information
| Provider Information | |||||||||
| NPI: | 1275624397 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAMB | ||||||||
| FirstName: | TAMMY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2331 BROADBIRCH DR | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209041934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019021073 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8001 FORBES PL | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221512208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038243200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 06/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | ME155070 | FL | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 0101233562 | VA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 300137765 | 01 | RAILROAD MEDICARE | OTHER | 300137763 | 01 | COMPUTED TOMOGRAPHY ASSOCIATES, RR MEDICARE | OTHER |