| Loudoun Family Medicine, P.c. | |
|
19450 Deerfield Ave Ste 150 Lansdowne VA 20176-8424 | |
| (703) 858-9192 | |
| (703) 858-9442 |
| Full Name | Loudoun Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 19450 Deerfield Ave Ste 150, Lansdowne, Virginia |
| Authorized Official Name and Position | Qudsia I Malik (PRESIDENT) |
| Authorized Official Contact | 7038589192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Family Medicine, P.c. 19450 Deerfield Ave Ste 150 Lansdowne VA 20176-8424 Ph: (703) 858-9192 | Loudoun Family Medicine, P.c. 19450 Deerfield Ave Ste 150 Lansdowne VA 20176-8424 Ph: (703) 858-9192 |
| NPI Number | 1881882090 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881882090 | NPI | - | NPPES |
| 010133688 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232381 (Virginia) | Primary |
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