Provider Demographics
NPI:1013992593
Name:DULAI, SARBJOT SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARBJOT
Middle Name:SINGH
Last Name:DULAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224D CORNWALL ST NW STE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:19415 DEERFIELD AVE SUITE 310
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8425
Practice Address - Country:US
Practice Address - Phone:703-726-6393
Practice Address - Fax:703-726-6394
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010554102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA102832OtherANTHEM
P00184236OtherMEDICARE RR
VA1013992593Medicaid
DCJ5450001OtherBLUE CROSS BLUE SHIELD
DCG01850N01OtherMEDICARE
VA30016087280001Medicaid