| Internal Medicine Of Loudoun, Llc | |
|
19455 Deerfield Ave Suite 306 Lansdowne VA 20176-8100 | |
| (703) 858-7007 | |
| (703) 858-5007 |
| Full Name | Internal Medicine Of Loudoun, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19455 Deerfield Ave, Lansdowne, Virginia |
| Authorized Official Name and Position | Sandhya Chanda (DIRECTOR) |
| Authorized Official Contact | 7038587007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Loudoun, Llc 19455 Deerfield Ave 306 Ashburn VA 20146-1754 Ph: (703) 858-7007 | Internal Medicine Of Loudoun, Llc 19455 Deerfield Ave Suite 306 Lansdowne VA 20176-8100 Ph: (703) 858-7007 |
| NPI Number | 1710182241 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710182241 | NPI | - | NPPES |
| 1043219710 | Medicaid | VA | |
| DN1371 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101232028 (Virginia) | Primary |
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