Individual
MADHU SINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176
(703) 724-1195
(703) 724-4495
Mailing address
19415 DEERFIELD AVENUE, SUITE 112, LEESBURG, VA 20176
(703) 724-1195
(703) 724-4495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06319
MEDICARE GROUP PIN
VA
01
—
G00426
MEDICARE GROUP PIN
DC
Enumeration date
09/16/2005
Last updated
03/05/2008
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