VIV FAIRFAX, LLC is an end-stage renal disease (esrd) treatment clinic center in Fairfax, VA. VIV FAIRFAX, LLC NPI is 1396327052. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
13135 LEE JACKSON MEMORIAL HWY STE 145
FAIRFAX, VA
ZIP 22033-907
Phone: (215) 828-2387
The provider's authorized official is Anish P Shah .
The authorized official title is Ceo and has the following contact phone number (215) 828-2387.
The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.