Organization · Type 2 NPI

Loudoun Medical Group, PC

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Reston, VA

NPI number 1235664897 Active

Practice location

1860 Town Center Dr, Suite 140
Reston, VA 20190-5898

Fax (571) 526-4393

Mailing address

224-D Cornwall Street, NW, Suite 403, Suite 403
Leesburg, VA 20176-2700

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040XNone listed

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1235664897

Loudoun Medical Group, PC's National Provider Identifier is 1235664897, issued on Apr 20, 2017. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (2088F0040X), and the practice location is in Reston, VA. The record was last updated on Apr 24, 2023.