Provider Demographics
NPI:1932763786
Name:STONESPRINGS GASTROENTEROLOGY PLLC
Entity Type:Organization
Organization Name:STONESPRINGS GASTROENTEROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-516-4500
Mailing Address - Street 1:24430 STONE SPRINGS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2267
Mailing Address - Country:US
Mailing Address - Phone:703-665-2677
Mailing Address - Fax:703-665-2680
Practice Address - Street 1:24430 STONE SPRINGS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DULLES
Practice Address - State:VA
Practice Address - Zip Code:20166-2267
Practice Address - Country:US
Practice Address - Phone:703-665-2677
Practice Address - Fax:703-665-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty