Provider Demographics
NPI:1184642761
Name:LOUDOUN MEDICAL CARE PC
Entity Type:Organization
Organization Name:LOUDOUN MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARNAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-729-2626
Mailing Address - Street 1:19415 DEERFIELD AVE
Mailing Address - Street 2:STE 115
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8452
Mailing Address - Country:US
Mailing Address - Phone:703-729-2626
Mailing Address - Fax:703-729-3141
Practice Address - Street 1:19415 DEERFIELD AVE
Practice Address - Street 2:STE 115
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8452
Practice Address - Country:US
Practice Address - Phone:703-729-2626
Practice Address - Fax:703-729-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058812207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA451980OtherANTHEM BCBS
DE7262OtherMEDICARE RAILROAD
VA451980OtherANTHEM BCBS