Organization
LOUDOUN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALARMATHI T ANBARASAN M.D (PRESIDENT)
(703) 342-7790
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE, SUITE 103, LANSDOWNE, VA 20176-8452
(703) 858-4900
Mailing address
20969 GREAT WOODS DR, LEESBURG, VA 20175-8776
(703) 342-7790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233048
VA
Other
Enumeration date
06/16/2014
Last updated
10/02/2014
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