Provider Demographics
NPI:1144325101
Name:ONCOLOGY/HEMATOLOGY OF LOUDOUN AND RESTON, P.C.
Entity type:Organization
Organization Name:ONCOLOGY/HEMATOLOGY OF LOUDOUN AND RESTON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARVA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJENDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-858-3110
Mailing Address - Street 1:44055 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 224
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5179
Mailing Address - Country:US
Mailing Address - Phone:703-858-3110
Mailing Address - Fax:703-858-3111
Practice Address - Street 1:44055 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 224
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-5179
Practice Address - Country:US
Practice Address - Phone:703-858-3110
Practice Address - Fax:703-858-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematologyGroup - Multi-Specialty
Not Answered207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty