# JC WADHWA PC

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

## Provider details

- **NPI number:** 1598782252
- **Authorized official:** JAGDISH WADHWA MD (PRESIDENT)
- **Authorized official phone:** (703) 724-4000

## Contact information

- **Practice address:** 20925 PROFESSIONAL PLZ, SUITE 100, ASHBURN, VA 20147-3403
- **Practice address phone:** (703) 724-4000
- **Practice address fax:** (703) 724-4017
- **Mailing address:** PO BOX 4359, LEESBURG, VA 20177-8461
- **Mailing address phone:** (703) 724-4000
- **Mailing address fax:** (703) 724-4017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101239093 | VA | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020