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LOUDOUN MEDICAL GROUP PC NPI 1588106710


NPI Information

NPI: 1588106710
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: ONCOLOGY& HEMATOLOGY OF LOUDOUN AND RESTON

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
24430 STONE SPRINGS BLVD
SUITE 515
DULLES, VA
ZIP 20166
Phone: (703) 858-3110
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LOUDOUN MEDICAL GROUP, PC is a hematology and oncology internal medicine in Dulles, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. LOUDOUN MEDICAL GROUP, PC NPI is 1588106710. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oncology& Hematology Of Loudoun And Reston.

The provider's business location address is:

24430 STONE SPRINGS BLVD
SUITE 515
DULLES, VA
ZIP 20166-247
Phone: (703) 858-3110
Fax: (703) 858-3110

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6012.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 8/18/2023.


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
1207RH0003XInternal MedicineHematology & OncologyYes

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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