NPIMap

Organization Active NPI

Sam'S Neurology, LLC

  • Neurology Physician
  • Alexandria, VA
National Provider Identifier
1679881015
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101238882 Issued in VA
Legal business name
SAM'S NEUROLOGY, LLC
Practice address
8101 Hinson Farm Rd Ste 112
Alexandria, VA 22306-3404
Phone
(703) 356-1105
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jaswinder Khosla, M.D.
Title
Owner
Phone
(703) 356-4138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0101238882 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 112
Alexandria, VA 22306-3404

Mailing address

6714 Whittier Ave
MC Lean, VA 22101-4529
Phone (703) 356-1105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1679881015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 WHITTIER AVE",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014529",
            "telephone_number": "703-356-1105",
            "fax_number": "703-356-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 112",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063404",
            "telephone_number": "703-356-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "KHOSLA",
        "authorized_official_first_name": "JASWINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-356-4138",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101238882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.