LOUDOUN MEDICAL GROUP PC NPI 1588376321

NPI Information

NPI: 1588376321
Provider Name: LOUDOUN MEDICAL GROUP, PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
12005 SUNRISE VALLEY DRIVE, SUITE 120
RESTON, VA
ZIP 20191
Phone: (703) 737-6010
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LOUDOUN MEDICAL GROUP, PC is a vascular surgery surgery in Reston, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. LOUDOUN MEDICAL GROUP, PC NPI is 1588376321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12005 SUNRISE VALLEY DRIVE, SUITE 120
RESTON, VA
ZIP 20191-469
Phone: (703) 737-6010

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The enumeration date for this NPI number is 12/22/2022 and was last updated on 12/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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