Provider Demographics
NPI:1548839947
Name:VIRGINIA RUN FOOT & ANKLE LLC
Entity type:Organization
Organization Name:VIRGINIA RUN FOOT & ANKLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAJJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:703-944-1777
Mailing Address - Street 1:21 FORT EVANS RD NE STE F
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4488
Mailing Address - Country:US
Mailing Address - Phone:703-944-1777
Mailing Address - Fax:972-767-3608
Practice Address - Street 1:21 FORT EVANS RD NE STE F
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4488
Practice Address - Country:US
Practice Address - Phone:703-944-1777
Practice Address - Fax:972-767-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric