Lailas, Nicholas George

Lailas, Nicholas George is an individual health care provider with primary practice located at 1860 Town Center Drive, Suite 150 , Reston VA 20190-5905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lailas, Nicholas George can be contacted via phone (703) 480-0220.

Contact Information

Primary practice address
1860 Town Center Drive, Suite 150 Reston VA 20190-5905
Phone: (703) 480-0220
Fax: (703) 480-0280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101054583 Virginia

Profile Details

NPI number 1750376539
LBN Legal business name Lailas, Nicholas George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750376539 NPPES
Virginia Other 340017875 RR MEDICARE VA
Virginia Other 340017876 RR MEDICARE VA
Virginia MEDICAID 1750376539 RR MEDICARE VA
Virginia MEDICAID 30016055850001 RR MEDICARE VA

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