Provider Demographics
NPI:1659349439
Name:HUANG, CECIL (MD)
Entity type:Individual
Prefix:DR
First Name:CECIL
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 SPRING HILL RD UNIT 10542
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-0129
Mailing Address - Country:US
Mailing Address - Phone:703-774-8991
Mailing Address - Fax:703-345-9372
Practice Address - Street 1:44045 RIVERSIDE PKWY
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5101
Practice Address - Country:US
Practice Address - Phone:703-858-6000
Practice Address - Fax:571-209-6465
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238687207L00000X, 207LP2900X
PAMD483818207L00000X, 207LP2900X
MDD66153207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1659349439Medicaid
VAVV6983AMedicare PIN
VA008492L92Medicare ID - Type Unspecified
VA1659349439Medicaid