Organization
INTERNAL MEDICINE OF LOUDOUN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA CHANDA M.D. (DIRECTOR)
(703) 858-7007
Entity
Organization
Contact information
Practice address
19455 DEERFIELD AVE, SUITE 306, LANSDOWNE, VA 20176-8100
(703) 858-7007
(703) 858-5007
Mailing address
19455 DEERFIELD AVE, 306, ASHBURN, VA 20146-1754
(703) 858-7007
(703) 858-5007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232028
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043219710
—
VA
01
—
DN1371
MEDICARE RAILROAD
—
Enumeration date
06/15/2007
Last updated
08/28/2008
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