Provider Demographics
NPI:1457554925
Name:GALKIN, LLOYD AM (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:AM
Last Name:GALKIN
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 1:2830 FLAGMAKER DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2203
Mailing Address - Country:US
Mailing Address - Phone:703-534-5257
Mailing Address - Fax:
Practice Address - Street 1:2830 FLAGMAKER DR
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2203
Practice Address - Country:US
Practice Address - Phone:703-534-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025781207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB94426Medicare UPIN
VAGA198759Medicare ID - Type Unspecified