MEDICARE: DELOS LONGEVITY PLLC

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	202D00000X	Integrative Medicine Physician

General Provider Information

NPI Number	:	1558202309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELOS LONGEVITY PLLC

Provider Business Mailing Address
First Line	:	43280 MITCHAM SQ
Second Line	:
City	:	ASHBURN
State	:	VA
Zip	:	20148-7039
Country	:	US
Telephone Number	:	571-230-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	21290 WINDMILL PARC DR STE 402
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-7086
Country	:	US
Telephone Number	:	571-230-4831
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	JOSEPH GURRALA
Credential	:	MD
Telephone Number	:	571-230-4831

Provider Enumeration Date	:	04/04/2026
Last Update Date	:	04/04/2026

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Directions to “DELOS LONGEVITY PLLC ” Practice Location

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