NPI 1124004296
Countryside Orthopaedics PC
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
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.