Healthcare Provider Details

I. General information

NPI: 1891766457
Provider Name (Legal Business Name): LIGIA PIC-ALUAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 06/10/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 LOISDALE CT STE 1100
SPRINGFIELD VA
22150-1885
US

IV. Provider business mailing address

6501 LOISDALE CT STE 1100
SPRINGFIELD VA
22150-1885
US

V. Phone/Fax

Practice location:
  • Phone: 703-922-1021
  • Fax: 703-922-1166
Mailing address:
  • Phone: 703-922-1021
  • Fax: 703-922-1166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD30536
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101056578
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: