Organization
LOUDOUN WALK IN MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FUAD ALYKHAN M.D. (CEO)
(703) 726-9056
Entity
Organization
Contact information
Practice address
44320 PREMIER PLZ, ASHBURN, VA 20147-5076
(703) 726-9056
(703) 726-9058
Mailing address
44320 PREMIER PLZ, SUITE 120, ASHBURN, VA 20147-5076
(703) 726-9056
(703) 726-9058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101059077
VA
Other
Enumeration date
12/17/2009
Last updated
12/18/2009
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