Individual
ALOK RUSTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46090 LAKE CENTER PLZ, 201, POTOMAC FALLS, VA 20165-5876
(703) 489-0508
Mailing address
46090 LAKE CENTER PLZ, 201, POTOMAC FALLS, VA 20165-5876
(703) 489-0508
(703) 468-1061
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
0101236706
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10270880
—
VA
01
—
206438
ANTHEM BC
VA
01
—
P00382573
MEDICARE RAILROAD
—
Enumeration date
06/27/2006
Last updated
02/27/2008
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