| Loudoun Medical Care Pc | |
|
19415 Deerfield Ave Ste 115 Lansdowne VA 20176-8452 | |
| (703) 729-2626 | |
| (703) 729-3141 |
| Full Name | Loudoun Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19415 Deerfield Ave, Lansdowne, Virginia |
| Authorized Official Name and Position | Karnail Singh (PRESIDENT) |
| Authorized Official Contact | 7037292626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Medical Care Pc 19415 Deerfield Ave Ste 115 Lansdowne VA 20176-8452 Ph: (703) 729-2626 | Loudoun Medical Care Pc 19415 Deerfield Ave Ste 115 Lansdowne VA 20176-8452 Ph: (703) 729-2626 |
| NPI Number | 1184642761 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 1254365414 |
|---|---|
| Medicare Enrollment ID | O20050927000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184642761 | NPI | - | NPPES |
| 451980 | Other | VA | ANTHEM BCBS |
| DE7262 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101058812 (Virginia) | Primary |
| Provider Name | Karnail Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871593202 PECOS PAC ID: 3375577547 Enrollment ID: I20101123000295 |
| Provider Name | Mandeep Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205836798 PECOS PAC ID: 5395931877 Enrollment ID: I20101123000522 |
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