Provider Demographics
NPI:1619080108
Name:NEUROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARBJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:DULAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-726-6393
Mailing Address - Street 1:PO BOX 765
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20146-0765
Mailing Address - Country:US
Mailing Address - Phone:703-726-6393
Mailing Address - Fax:703-726-6394
Practice Address - Street 1:19415 DEERFIELD AVE STE 310
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8472
Practice Address - Country:US
Practice Address - Phone:703-726-6393
Practice Address - Fax:703-726-6394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010554102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
J545OtherCAREFIRST BC OF WASH DC
DC6903OtherMEDICARE RAILROAD
VA102832OtherANTHEM BC
VA102832OtherANTHEM BC
VAC09043Medicare PIN