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LOUDOUN MEDICAL GROUP PC NPI 1205505955


NPI Information

NPI: 1205505955
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: ENDOCRINE HEALTH & WELLNESS

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
24430 STONE SPRINGS BLVD., SUITE 100
DULLES, VA
ZIP 20166
Phone: (703) 844-8380
Get Directions

LOUDOUN MEDICAL GROUP, PC is an endocrinology and diabetes and metabolism internal medicine in Dulles, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LOUDOUN MEDICAL GROUP, PC NPI is 1205505955. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Endocrine Health & Wellness.

The provider's business location address is:

24430 STONE SPRINGS BLVD., SUITE 100
DULLES, VA
ZIP 20166-269
Phone: (703) 844-8380
Fax: (703) 263-8393

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 9/7/2021 and was last updated on 9/16/2022.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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