MEDICARE: DR. PAYAM POOYAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	0101257751	VA
2	208M00000X	Hospitalist Physician	37872	TN
3	207RP1001X	Pulmonary Disease Physician	0101257751	VA

General Provider Information

NPI Number	:	1841254265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAYAM POOYAN M.D.

Provider Business Mailing Address
First Line	:	19455 DEERFIELD AVE STE 206
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-8102
Country	:	US
Telephone Number	:	703-858-9608
Fax Number	:	703-858-9618

Provider Business Practice Location Address
First Line	:	19455 DEERFIELD AVE STE 206
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-8102
Country	:	US
Telephone Number	:	703-858-9608
Fax Number	:	703-858-9618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	07/10/2023

Similar Medicare Providers

1699560953 — PRIVIA MEDICAL GROUP, LLC
Practice Location Address:

19455 DEERFIELD AVE STE 301
LEESBURG, VA
20176-8102

Practice Phone: 703-858-4439
Practice Fax:

1023008182 — PULMONARY AND CRITICAL CARE ASSOCIATES, P.C.
Practice Location Address:

19455 DEERFIELD AVE STE 206
LEESBURG, VA
20176-8102

Practice Phone: 703-858-9608
Practice Fax: 703-858-9618

1144286048 — ARSHED AHMED CHOUDHRY MD
Practice Location Address:

19455 DEERFIELD AVE STE 204
LEESBURG, VA
20176-8102

Practice Phone: 703-858-1500
Practice Fax: 703-858-5022

1134178965 — YOUNGHAE LISA HYUN-PARK MD
Practice Location Address:

19455 DEERFIELD AVENUE, SUITE 204
LEESBURG, VA
20176-8102

Practice Phone: 703-858-1500
Practice Fax: 703-858-5022

1700836798 — MICHELLE YVONNE ROBERTS-BORDEN MD
Practice Location Address:

19455 DEERFIELD AVENUE, SUITE 204
LEESBURG, VA
20176-8102

Practice Phone: 703-858-1500
Practice Fax: 703-858-5022

1336199959 — JENNIFER BRACKEN THOMPSON MD
Practice Location Address:

19455 DEERFIELD AVENUE, SUITE 204
LEESBURG, VA
20176-8102

Practice Phone: 703-858-1500
Practice Fax: 703-858-5022

Directions to “ DR. PAYAM POOYAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.