LEONARD ILKHANOFF (NPI# 1104988682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104988682 |
| Entity Type | Individual |
| Full Name | LEONARD ILKHANOFF |
| Credential | MD |
| Practice Address |
8100 Ashton Ave Suite 200 Manassas VA 20109-5622 |
| Mailing Address |
Po Box 37174 Baltimore MD 21297-3174 |
| Practice Telephone | 7033310300 |
| Practice Fax Number | 7033310254 |
| Mailing Telephone | 7033310300 |
| Mailing Fax Number | 7033310254 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0101254202 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | MEDICARE DC PTAN | G00773 | 01 |
| VA | MEDICARE VIRGINIA PTAN | C06380 | 01 |
| Street Address |
8100 ASHTON AVE SUITE 200 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875434 | Balbir Sidhu | Internal Medicine | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2005-07-14 |
| 1336792308 | Whitney Loraine Thomas | Nurse Practitioner | 8100 Ashton Ave, Manassas, VA 20109-5622 | 2019-07-18 |
| 1194272062 | Juliane Austin | Physician Assistant | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2016-09-07 |
| 1982002937 | Loudoun Medical Group PC | Psychiatry & Neurology | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2014-12-08 |
| 1508263104 | Ahmad Hawasli | Dentist | 8100 Ashton Ave, Ste 212, Manassas, VA 20109-5622 | 2014-11-25 |
| 1225396955 | Lynn Nelson | Physical Therapist | 8100 Ashton Ave, Suite 209, Manassas, VA 20109-5622 | 2012-05-01 |
| 1194008292 | Jessica Lynn Sinclair | Physician Assistant | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2011-09-25 |
| 1790065100 | Allergy and Asthma Clinical Centers | Clinic/Center | 8100 Ashton Ave, Suite 207b, Manassas, VA 20109-5622 | 2011-08-17 |
| 1295977403 | Linda R Ledbetter | Nurse Practitioner | 8100 Ashton Ave, Suite 200, Manassas, VA 20109 | 2009-04-02 |
| 1417195686 | Shreenathji, LLC | Pharmacy | 8100 Ashton Ave, Suite #104, Manassas, VA 20109-5622 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497943344 | Saumil R Shah | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225 | 2007-10-04 |
| 1770671711 | Sarfraz Durrani | Internal Medicine | 3020 Hamaker Ct Ste 401, Fairfax, VA 22031-2220 | 2006-10-11 |
| 1376630988 | Neoma S George | Internal Medicine | 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 | 2006-10-06 |
| 1205819521 | Scott Kaufman | Internal Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1929 | 2005-11-21 |
| 1306304217 | Virginia Arrhythmia Consultants Pllc | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225-5513 | 2019-03-10 |
| 1356850598 | Oliver James Monfredi | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2017-09-20 |
| 1104163542 | Fairfax Arrhythmia, Pllc | Internal Medicine | 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 | 2013-01-04 |
| 1265731491 | Stephen Andrew Gaeta | Internal Medicine | 3020 Hamaker Ct Ste 101, Fairfax, VA 22031-2233 | 2011-03-28 |
| 1396056982 | Fort Norfolk Plaza Medical Associates, LLC | Internal Medicine | 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 | 2010-06-29 |
| 1578881991 | Constancia F Macatangay Geronilla | Internal Medicine | 2000 Meade Pkwy, Suffolk, VA 23434 | 2010-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.