Loudoun Medical Group, PC
Internal Medicine in Dulles, VA. Organization (NPI-2).
NPI number1962850107
StatusActive
Last updated in NPPESAug 18, 2023
Details
- NPI
- 1962850107
- Entity type
- Organization (NPI-2)
- Legal business name
- Loudoun Medical Group, PC
- Organization subpart
- Yes
- Enumeration date
- May 27, 2016
- Certification date
- Aug 18, 2023
- Last updated
- Aug 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- The Iyer Clinic (Doing Business As)
Practice location
24430 Stone Springs BlvdSuite 250
Dulles, VA 20166-2247
Phone 703-404-5900 · Fax 703-421-1099
Mailing address
Po Box 17334Baltimore, MD 21297-1334
Phone 703-443-6717 · Fax 703-443-8643
Authorized official
Mary Beth Tamasy
Ceo
7037376010
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All 8 Internal Medicine Physician providers in Dulles · All 182 providers in Dulles
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