MEDICARE: DR. SINDU STEPHEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	0101265414	VA
2	207R00000X	Internal Medicine Physician	MD036136	DC
3	207RG0100X	Gastroenterology Physician	D72949	MD
4	207R00000X	Internal Medicine Physician	0101265414	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101265414	OTHER	VA	VIRGINIA LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	D72949	OTHER	MD	MARYLAND LICENSE

General Provider Information

NPI Number	:	1295768240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SINDU STEPHEN MD

Provider Business Mailing Address
First Line	:	224D CORNWALL ST NW STE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:	571-291-9786

Provider Business Practice Location Address
First Line	:	4660 KENMORE AVE STE 305
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1306
Country	:	US
Telephone Number	:	703-751-5763
Fax Number	:	703-370-8704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	02/18/2026

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Directions to “ DR. SINDU STEPHEN MD” Practice Location

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