Provider Demographics
NPI:1396616496
Name:PRIMARY CARE OF LORTON
Entity type:Organization
Organization Name:PRIMARY CARE OF LORTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:ATIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-275-8776
Mailing Address - Street 1:211 S KING ST STE B
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-2945
Mailing Address - Country:US
Mailing Address - Phone:571-275-8776
Mailing Address - Fax:
Practice Address - Street 1:211 S KING ST STE B
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2945
Practice Address - Country:US
Practice Address - Phone:571-275-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty