Healthcare Provider Details

I. General information

NPI: 1780004200
Provider Name (Legal Business Name): MIGUEL LEANDRO RUFAIL M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2014
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6736 CURRAN STREET, SUITE 2
MCLEAN VA
22101-3803
US

IV. Provider business mailing address

224 D CORNWALL ST, NW, SUITE 403
LEESBURG VA
20176-2704
US

V. Phone/Fax

Practice location:
  • Phone: 703-372-0787
  • Fax: 703-712-7169
Mailing address:
  • Phone: 703-737-6010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0101281602
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD463101
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: