Internal Medicine of Loudoun, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101232028 Issued in VA

Legal business name

INTERNAL MEDICINE OF LOUDOUN, LLC

Practice address

19455 Deerfield Ave
Suite 306
Lansdowne, VA 20176-8100

Phone

(703) 858-7007

Fax

(703) 858-5007

NPI assigned

Jun 15, 2007

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandhya Chanda, M.D.

Title

Director

Phone

(703) 858-7007

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1710182241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "306",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201461754",
            "telephone_number": "703-858-7007",
            "fax_number": "703-858-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 306",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768100",
            "telephone_number": "703-858-7007",
            "fax_number": "703-858-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF LOUDOUN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "CHANDA",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-858-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043219710",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DN1371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.