# STONE RIDGE FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stone Ridge Family Medicine, Stone Ridge Family Medicine and Walk in Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588215032
- **Authorized official:** PRADNYA SHIRSOLKAR (OWNER/PHYSICIAN)
- **Authorized official phone:** (315) 601-0174

## Contact information

- **Practice address:** 24560 SOUTHPOINT DR STE 220, ALDIE, VA 20105-3504
- **Practice address phone:** (315) 601-0174
- **Mailing address:** 42619 KELLAMUGH TER, CHANTILLY, VA 20152-6082
- **Mailing address phone:** (315) 601-1768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 09/26/2019