Provider Demographics
NPI:1154214690
Name:LUXURE MEDICAL BEAUTY INSTITUTE
Entity type:Organization
Organization Name:LUXURE MEDICAL BEAUTY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-675-5921
Mailing Address - Street 1:16491 STEERAGE CIR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6028
Mailing Address - Country:US
Mailing Address - Phone:571-675-5921
Mailing Address - Fax:
Practice Address - Street 1:8000 WESTPARK DR STE 450
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3100
Practice Address - Country:US
Practice Address - Phone:571-675-5921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty