| Lansdowne Travel And Family Medicine Llc | |
|
19415 Deerfield Ave Suite 103 Lansdowne VA 20176-8452 | |
| (571) 223-3833 | |
| (877) 260-8179 |
| Full Name | Lansdowne Travel And Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 19415 Deerfield Ave, Lansdowne, Virginia |
| Authorized Official Name and Position | Rajiv Kumar Aggarwal (PRESIDENT) |
| Authorized Official Contact | 5712233833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansdowne Travel And Family Medicine Llc 19415 Deerfield Ave Suite 103 Lansdowne VA 20176-8452 Ph: (571) 223-3833 | Lansdowne Travel And Family Medicine Llc 19415 Deerfield Ave Suite 103 Lansdowne VA 20176-8452 Ph: (571) 223-3833 |
| NPI Number | 1831278738 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 01/10/2014 |
| Medicare PECOS PAC ID | 8022079144 |
|---|---|
| Medicare Enrollment ID | O20041022000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831278738 | NPI | - | NPPES |
| 010103878 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232243 (Virginia) | Primary |
| Provider Name | Rajiv K Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518146554 PECOS PAC ID: 5294621926 Enrollment ID: I20040930000487 |
| Provider Name | Wendy Lucy N Ngassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215212709 PECOS PAC ID: 9032196407 Enrollment ID: I20130118000310 |
| Provider Name | Yvette Mujarwanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083365985 PECOS PAC ID: 6305213182 Enrollment ID: I20221108001251 |
Trident Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Ste 103, Lansdowne, VA 20176 Phone: 703-509-9198 | |
Lighthouse Family Medicine And Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19465 Deerfield Ave Ste 309, Lansdowne, VA 20176 Phone: 571-293-2424 Fax: 972-947-5370 | |
Loudoun Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave, Ste 115, Lansdowne, VA 20176 Phone: 703-729-2626 Fax: 703-729-3141 | |
Loudoun Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave, Suite 103, Lansdowne, VA 20176 Phone: 703-858-4900 | |
Loudoun Internal And Lifestyle Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Ste 210, Lansdowne, VA 20176 Phone: 703-967-3863 | |
Lmcwellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19490 Sandridge Way Ste 240, Lansdowne, VA 20176 Phone: 703-777-1146 | |
Potomac Palliative Care Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave Ste 107, Lansdowne, VA 20176 Phone: 240-388-1414 |