Provider Demographics
NPI:1942821400
Name:TALIAFERRO, ELI (MD)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:TALIAFERRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 MISSISSIPPI AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6120
Mailing Address - Country:US
Mailing Address - Phone:202-436-3060
Mailing Address - Fax:202-436-3098
Practice Address - Street 1:1801 MISSISSIPPI AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6120
Practice Address - Country:US
Practice Address - Phone:202-436-3060
Practice Address - Fax:202-436-3098
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210011807208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics