Healthcare Provider Details

I. General information

NPI: 1144325101
Provider Name (Legal Business Name): ONCOLOGY/HEMATOLOGY OF LOUDOUN AND RESTON, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44055 RIVERSIDE PKWY SUITE 224
LANSDOWNE VA
20176-5179
US

IV. Provider business mailing address

44055 RIVERSIDE PKWY SUITE 224
LANSDOWNE VA
20176-5179
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-3110
  • Fax: 703-858-3111
Mailing address:
  • Phone: 703-858-3110
  • Fax: 703-858-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARVA RAJENDRA
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 703-858-3110