Provider Demographics
NPI:1760532501
Name:LANSDOWNE OBGYN, PLLC
Entity Type:Organization
Organization Name:LANSDOWNE OBGYN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:DULAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-724-9950
Mailing Address - Street 1:PO BOX 1395
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20146-1395
Mailing Address - Country:US
Mailing Address - Phone:703-724-9950
Mailing Address - Fax:
Practice Address - Street 1:19455 DEERFIELD AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8446
Practice Address - Country:US
Practice Address - Phone:703-724-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09692Medicare UPIN