Individual
JEFFREY S. LUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11800 SUNRISE VALLEY DR STE 500, RESTON, VA 20191-5303
(703) 437-5977
(703) 478-2475
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101234176
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034543500
—
DC
05
—
1932103272
—
VA
05
—
401040000
—
MD
01
—
P00007584
RAILROAD MEDICARE DC #
DC
01
—
P00007586
RAILROAD MEDICARE VA #
VA
Enumeration date
06/01/2005
Last updated
07/14/2023
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