| Louis Puppo, MD | |
| 10692 Crestwood Dr Ste B, Manassas, VA 20109 | |
| (703) 754-1524 | |
| (703) 754-7661 | 
| Full Name | Louis Puppo | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 10692 Crestwood Dr Ste B, Manassas, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699802942 | NPI | - | NPPES | 
| 1699802942 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 0101048370 (Virginia) | Primary | 
| Entity Name | Dlp Rutherford Physician Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962821322 PECOS PAC ID: 0345466561 Enrollment ID: O20140724001507 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Louis Puppo, MD 10692 Crestwood Dr Ste B, Manassas, VA 20109-4410 Ph: (703) 754-1524 | Louis Puppo, MD 10692 Crestwood Dr Ste B, Manassas, VA 20109 Ph: (703) 754-1524 | 
| Arthur G. Gower, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9001 Digges Rd, Suite 107, Manassas, VA 20110 Phone: 703-368-9131 Fax: 703-368-2038 | |
| Dr. Robin Elizabeth Brodie, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8650 Sudley Rd, Suite 306, Manassas, VA 20110 Phone: 703-393-9494 Fax: 703-393-8591 | |
| Dr. Jennifer Therese Bradford, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10623 Crestwood Dr, Manassas, VA 20109 Phone: 703-361-7131 Fax: 703-330-2065 | |
| Hussien A Al-shammaa, M. D.,F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 9705 Liberia Ave, Manassas, VA 20110 Phone: 703-680-7950 | |
| Dr. Sanjay Lamba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 Rolling Rd, Ste 100, Manassas, VA 20110 Phone: 703-361-3870 | |
| Batoul Elamin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8134 | |
| Chiquitia Jenee Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8640 Sudley Rd Ste 306, Manassas, VA 20110 Phone: 703-330-3939 Fax: 703-331-0959 |