Healthcare Provider Details

I. General information

NPI: 1720920564
Provider Name (Legal Business Name): ROYAL GOODS BY QUEEN ANNA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21808 LEATHERLEAF CIR
STERLING VA
20164-2352
US

IV. Provider business mailing address

21808 LEATHERLEAF CIR
STERLING VA
20164-2352
US

V. Phone/Fax

Practice location:
  • Phone: 202-445-8280
  • Fax:
Mailing address:
  • Phone: 202-445-8280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: UZMA KHAN
Title or Position: CEO
Credential:
Phone: 202-445-8280