Provider Demographics
NPI:1619299492
Name:LOUDOUN NEUROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:LOUDOUN NEUROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARMINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-729-1900
Mailing Address - Street 1:19420 GOLF VISTA PLZ
Mailing Address - Street 2:UNIT 340
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8265
Mailing Address - Country:US
Mailing Address - Phone:785-845-4035
Mailing Address - Fax:
Practice Address - Street 1:19420 GOLF VISTA PLZ
Practice Address - Street 2:UNIT 340
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8265
Practice Address - Country:US
Practice Address - Phone:703-729-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC183556YA93Medicare PIN
VAVAA100755Medicare PIN
H26318Medicare UPIN