Healthcare Provider Details

I. General information

NPI: 1164476818
Provider Name (Legal Business Name): EUGENE J LOUIE-NG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7915 LAKE MANASSAS DRIVE SUITE 205
GAINESVILLE VA
20155
US

IV. Provider business mailing address

PO BOX 748613
ATLANTA GA
30374-8613
US

V. Phone/Fax

Practice location:
  • Phone: 866-775-3551
  • Fax: 703-365-7702
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1020658
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101230347
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: