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Loudoun Medical Group, PC

Organization Active NPI Internal Medicine Physician · Dulles, VA

NPI 1669914792 · NPPES record last updated Dec 1, 2023

Key facts

NPI
1669914792
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
24430 Stone Springs Blvd,
Suite 275
Dulles, VA 20166-2270
Phone
(571) 695-3260
Fax
(703) 858-3221
NPI assigned
Nov 7, 2016
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP, PC

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6010

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Walter M Obrien MD (305 organizations share this tax ID)
Part of
Walter M Obrien MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

24430 Stone Springs Blvd,
Suite 275
Dulles, VA 20166-2270

Mailing address

224-D Cornwall Street, NW, Suite 403
Suite 403
Leesburg, VA 20176-2700
Phone (703) 737-6010

Other names

  • Loudoun Internal Medicine Associates Doing business as

Other providers in Dulles, VA

All providers in Dulles, VA · Internal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.