Healthcare Provider Details

I. General information

NPI: 1568398139
Provider Name (Legal Business Name): CAPITOL CONTOURS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44031 PIPELINE PLZ STE 210
ASHBURN VA
20147-5888
US

IV. Provider business mailing address

PO BOX 1833
ASHBURN VA
20146-1833
US

V. Phone/Fax

Practice location:
  • Phone: 571-241-7000
  • Fax:
Mailing address:
  • Phone: 571-241-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINE HANSON HAAS
Title or Position: MEMBER
Credential: LN
Phone: 571-241-7000