Provider Demographics
NPI:1770835480
Name:THE VIRGINIA INSTITUTE PLLC
Entity type:Organization
Organization Name:THE VIRGINIA INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:T
Authorized Official - Last Name:VO-NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-327-8200
Mailing Address - Street 1:25055 RIDING PLZ
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5917
Mailing Address - Country:US
Mailing Address - Phone:703-327-8200
Mailing Address - Fax:703-327-7800
Practice Address - Street 1:25055 RIDING PLZ
Practice Address - Street 2:SUITE 140
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-5917
Practice Address - Country:US
Practice Address - Phone:703-327-8200
Practice Address - Fax:703-327-7800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246352207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0101246352OtherMEDICAL LICENSE