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LOUDOUN ENT & ALLERGY NPI 1013951326


NPI Information

NPI: 1013951326
Provider Name: LOUDOUN ENT & ALLERGY
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
19455 DEERFIELD AVE
SUITE 312
LANSDOWNE, VA
ZIP 20176
Phone: (703) 858-0303
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LOUDOUN ENT & ALLERGY is a facial plastic surgery otolaryngology in Lansdowne, VA. The provider is an otolaryngologist who specializes in facial plastic surgery. LOUDOUN ENT & ALLERGY NPI is 1013951326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19455 DEERFIELD AVE
SUITE 312
LANSDOWNE, VA
ZIP 20176-446
Phone: (703) 858-0303

The provider's authorized official is Sumeet Mathur .
The authorized official title is President and has the following contact phone number (703) 858-0303.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/22/2020.


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
1207YS0123XOtolaryngologyFacial Plastic Surgery0101238286VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11609864115OTHERVIRGINIANPI

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
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