# LOUDOUN ENT & ALLERGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013951326
- **Authorized official:** DR. SUMEET MATHUR MD (PRESIDENT)
- **Authorized official phone:** (703) 858-0303

## Contact information

- **Practice address:** 19455 DEERFIELD AVE, SUITE 312, LANSDOWNE, VA 20176-8446
- **Practice address phone:** (703) 858-0303
- **Mailing address:** 19455 DEERFIELD AVE, SUITE 312, LANSDOWNE, VA 20176-8446
- **Mailing address phone:** (703) 858-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 0101238286 | VA | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1609864115 | NPI | VA |