Whalio Doctors

NPI 1124004296

Countryside Orthopaedics PC

Organisation Orthopaedic Surgery Physician Leesburg, VA

Practice location

Address
19465 Deerfield Ave Suite 405, Leesburg, VA 20176-1707
Phone
(703) 858-1800
Fax
(703) 858-1801

Authorised official

Name
Imran Khan
Title
President
Phone
(703) 858-1800

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Registry record

NPI
1124004296
Entity type
Organization
NPI issued
20 Dec 2005
Record last updated
13 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.