Organization
LOUDOUN FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUDSIA I MALIK M.D (PRESIDENT)
(703) 858-9192
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVE STE 150, LANSDOWNE, VA 20176-8424
(703) 858-9192
(703) 858-9442
Mailing address
19450 DEERFIELD AVE STE 150, LANSDOWNE, VA 20176-8424
(703) 858-9192
(703) 858-9442
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232381
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133688
—
VA
Enumeration date
10/12/2007
Last updated
10/12/2007
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