Healthcare Provider Details

I. General information

NPI: 1922006808
Provider Name (Legal Business Name): SUBIR SINGH JOSSAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 ROLLING RD SUITE 300
MANASSAS VA
20110-3647
US

IV. Provider business mailing address

8525 ROLLING RD SUITE 300
MANASSAS VA
20110-3647
US

V. Phone/Fax

Practice location:
  • Phone: 703-393-1667
  • Fax: 703-393-2517
Mailing address:
  • Phone: 703-393-1667
  • Fax: 703-393-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101055429
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number0101055429
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: