Organization · Type 2 NPI

Loudoun Medical Group, PC

Foot Surgery Podiatrist · Gainesville, VA

NPI number 1386255602 Active

Practice location

7430 Heritage Village Plz Unit 101
Gainesville, VA 20155-3089

Call (703) 753-3338 Map

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Foot Surgery Podiatrist Primary	213ES0131X	None listed

Foot Surgery Podiatrist: Definition to come...

2 other providers at this address

Loudoun Medical Group, PCFoot & Ankle Surgery Podiatrist Gainesville, VA NPI 1801408109
Mukesh D. Bhakta, D.P.M.Primary Podiatric Medicine Podiatrist Gainesville, VA NPI 1326152976

NPI record

NPI: 1386255602
Entity type: Organization (Type 2)
Issued: Aug 11, 2020
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Loudoun Medical Group · doing business as
Loudoun Medical Group PC · doing business as
Loudoun Medical Group PC · doing business as

Authorized official

Heather Stanton
Credentialing Manager
(703) 737-6012

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About NPI 1386255602

Loudoun Medical Group, PC's National Provider Identifier is 1386255602, issued on Aug 11, 2020. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Gainesville, VA. The record was last updated on Aug 18, 2023.