Loudoun Family Medicine, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101232381 Issued in VA

Legal business name

LOUDOUN FAMILY MEDICINE, P.C.

Practice address

19450 Deerfield Ave Ste 150
Lansdowne, VA 20176-8424

Phone

(703) 858-9192

Fax

(703) 858-9442

NPI assigned

Oct 12, 2007

Last updated

Oct 12, 2007By 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. Qudsia I Malik, M.DNPI 1871601138

Title

President

Phone

(703) 858-9192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qudsia Iqbal Malik, M.D.

  • Family Medicine Physician
  • Lansdowne, VA
  • NPI 1871601138
  Authorized official Same address or phone

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1881882090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 150",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768424",
            "telephone_number": "703-858-9192",
            "fax_number": "703-858-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE STE 150",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768424",
            "telephone_number": "703-858-9192",
            "fax_number": "703-858-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "QUDSIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-858-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133688",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loudoun Community Pharmacy LLC (Loudoun Community Pharmacy)
• Loudoun Counseling, LLC
• Loudoun Endoscopy Group, LLC
• Loudoun ENT & Allergy
• Loudoun Family Medicine LLC
• Loudoun Internal and Lifestyle Medicine LLC
• Loudoun Medical Care PC
• Loudoun Medical Group, PC (LMG Imaging Center)
• Loudoun Rheumatology Center, PC
• Loudoun Skilled Nursing LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.