Healthcare Provider Details

I. General information

NPI: 1114102282
Provider Name (Legal Business Name): PIYUSH LOHIYA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2008
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N BEAUREGARD ST STE 80
ALEXANDRIA VA
22311-1735
US

IV. Provider business mailing address

13135 ROUTE 50 STE 135
FAIRFAX VA
22033-1907
US

V. Phone/Fax

Practice location:
  • Phone: 703-961-0488
  • Fax: 703-961-0480
Mailing address:
  • Phone: 703-961-0488
  • Fax: 703-961-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101275361
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number13498
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberN9898
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: