| Tabula Medica LLC | |
|
19415 Deerfield Ave Ste 103 Lansdowne VA 20176-8470 | |
| (703) 957-8205 | |
| (571) 223-3834 |
| Full Name | Tabula Medica LLC |
|---|---|
| Speciality | Pediatrics |
| Location | 19415 Deerfield Ave Ste 103, Lansdowne, Virginia |
| Authorized Official Name and Position | Rajiv Kumar Aggarwal (CEO) |
| Authorized Official Contact | 7037325625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Medica LLC 19415 Deerfield Ave Ste 103 Lansdowne VA 20176-8470 Ph: (703) 957-8205 | Tabula Medica LLC 19415 Deerfield Ave Ste 103 Lansdowne VA 20176-8470 Ph: (703) 957-8205 |
| NPI Number | 1174458194 |
|---|---|
| Provider Enumeration Date | 06/13/2026 |
| Last Update Date | 06/13/2026 |
| Certification Date | 06/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174458194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Primary |
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