| Organization Name: | LOUDOUN ENT & ALLERGY |
| NPI Number: | 1013951326 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUMEET MATHUR (PRESIDENT) |
| Mailing Address: | 19455 Deerfield Ave Suite 312 Lansdowne |
| State: | VA US |
| Postal Code: | 201768446 |
| Phone Number: | 7038580303 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 0101238286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |