Active NPI
Tabula Medica LLC
- Pediatrics Physician
- Lansdowne, VA
National Provider Identifier
1174458194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- TABULA MEDICA LLC
- Practice address
- 19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470 - Phone
- (703) 957-8205
- Fax
- (571) 223-3834
- NPI assigned
- Jun 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajiv Kumar Aggarwal
- Title
- Ceo
- Phone
- (703) 732-5625
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470
Mailing address
19415 Deerfield Ave Ste 103
Lansdowne, VA 20176-8470
Phone (703) 957-8205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781308800000",
"number": "1174458194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVE STE 103",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768470",
"telephone_number": "703-957-8205",
"fax_number": "571-223-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVE STE 103",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768470",
"telephone_number": "703-957-8205",
"fax_number": "571-223-3834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TABULA MEDICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-13",
"last_updated": "2026-06-13",
"certification_date": "2026-06-13",
"status": "A",
"authorized_official_last_name": "AGGARWAL",
"authorized_official_first_name": "RAJIV",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "703-732-5625",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
- Sobha R Paluvoi MD PC
- Sarah Renee Spicer, OTR/L
- Kelly Starner, LCSW
- Anusha Sunderarajan, MPT
- Swarupa Esanakula ,MD PC
- Courtney Nicole Tate, CCC-SLP
- The National Sports Medicine Institute,PC
- The Virginia Endodontic Group - Loudoun
- The Virginia Endodontic Group-Gainesville PLC
- Gurjot Toor, DNP, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.