Healthcare Provider Details

I. General information

NPI: 1881621126
Provider Name (Legal Business Name): VIRGINIA HEAD AND NECK SURGEONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44055 RIVERSIDE PKWY SUITE 234
LEESBURG VA
20176-5179
US

IV. Provider business mailing address

44055 RIVERSIDE PKWY SUITE 234
LEESBURG VA
20176-5179
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-3020
  • Fax:
Mailing address:
  • Phone: 703-858-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDY SILVA
Title or Position: OWNER
Credential: MD
Phone: 703-858-3020