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Organization
LOUDOUN MEDICAL GROUP PC
Active
Organization
LOUDOUN MEDICAL GROUP PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, P.C.
Other names
Prince William Foot & Ankle Center, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, P.C.
Authorized official
MUKESH D. BHAKTA DPM (PRESIDENT)
(703) 753-3338
Entity
Organization
Contact information
Practice address
7430 HERITAGE VILLAGE PLAZA, SUITE 101, GAINESVILLE, VA 20155
(703) 753-3338
(703) 753-7870
Mailing address
7430 HERITAGE VILLAGE PLZ, SUITE 101, GAINESVILLE, VA 20155-3088
(703) 753-3338
(703) 753-7870
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
07/31/2020
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