Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Orthopaedics PC

Organization Orthopaedic Surgery Physician · NPI 1124004296

Countryside Orthopaedics PC is an Orthopaedic Surgery Physician in Leesburg, Virginia. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19465 Deerfield Ave Ste 405
Leesburg, VA 20176-1707
Phone: (703) 858-1800
Fax: (703) 858-1801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1124004296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imran Khan — President · (703) 858-1800
Other names Countryside Orthopaedicphysical Therapy And Hand Rehabilitation Center
NPI enumeratedDecember 20, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address19465 Deerfield Ave, Suite 405, Leesburg, VA 20176-1707

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