# PREMDEEP PHYSIATRY, P.L.L.C.

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

## Provider details

- **NPI number:** 1902744063
- **Authorized official:** DR. PRASHANT YADAV DO (PHYSIATRIST)
- **Authorized official phone:** (703) 508-6712

## Contact information

- **Practice address:** 24430 MILLSTREAM DR, ALDIE, VA 20105-3098
- **Practice address phone:** (703) 957-2000
- **Mailing address:** 12919 HARRINGTON CT, OAK HILL, VA 20171-2355
- **Mailing address phone:** (703) 508-6712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2026
- **Last updated:** 03/23/2026
