| Loudoun Walk In Medical Center, Llc | |
|
44320 Premier Plz Ashburn VA 20147-5076 | |
| (703) 726-9056 | |
| (703) 726-9058 |
| Full Name | Loudoun Walk In Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44320 Premier Plz, Ashburn, Virginia |
| Authorized Official Name and Position | Fuad Alykhan (CEO) |
| Authorized Official Contact | 7037269056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Walk In Medical Center, Llc 44320 Premier Plz Suite 120 Ashburn VA 20147-5076 Ph: (703) 726-9056 | Loudoun Walk In Medical Center, Llc 44320 Premier Plz Ashburn VA 20147-5076 Ph: (703) 726-9056 |
| NPI Number | 1073842282 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/18/2009 |
| Medicare PECOS PAC ID | 7012043722 |
|---|---|
| Medicare Enrollment ID | O20100406000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073842282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101059077 (Virginia) | Primary |
| Provider Name | Fuad Alykhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013192327 PECOS PAC ID: 5496881435 Enrollment ID: I20100330000456 |
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