Individual
DR. MONA TALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
935 S MAIN ST, FARMVILLE, VA 23901-2211
(434) 315-5340
Mailing address
222 HARRISON RD, CHESHIRE, CT 06410-3569
(786) 553-7047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101275053
VA
208600000X
Surgery Physician
277288
MA
208600000X
Surgery Physician
Primary
55228
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101275053
VA MEDICAL LICENSE
VA
01
—
14351923
CAQH
—
01
—
4301505224
MICHIGAN STATE MEDICAL LICENSE
MI
01
—
55228
CONNECTICUT STATE MEDICAL LICENSE
CT
Enumeration date
07/14/2011
Last updated
12/19/2025
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