NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC NPI 1770632630

NPI Information

NPI: 1770632630
Provider Name: NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3650 JOSEPH SIEWICK DR STE 310
FAIRFAX, VA
ZIP 22033
Phone: (703) 758-8800
Get Directions

NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC is a nephrology internal medicine in Fairfax, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHERN VIRGINIA NEPHROLOGY ASSOCIATES PC NPI is 1770632630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3650 JOSEPH SIEWICK DR STE 310
FAIRFAX, VA
ZIP 22033-715
Phone: (703) 758-8800
Fax: (703) 758-9500

The provider's authorized official is Magnus K Ikhinmwin .
The authorized official title is Medical Director and has the following contact phone number (703) 204-1614.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	0101057344	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1102268673	OTHER		MEDICARE RAILROAD
2	2614802	OTHER		AETNA HMO
3	41838	OTHER		GWU HP
4	F078 0001	OTHER		BC CAREFIRST
5	08492993A	OTHER		GEORGIA MEDICAID
6	289502	OTHER		ALLIANCE PPO
7	319481	OTHER		ANTHEM
8	005856141	MEDICAID	VIRGINIA
9	XYPLA8274	OTHER		CALIFORNIA MEDICAID
10	00B485N64	OTHER	DISTRICT OF COLUMBIA	DC MEDICARE
11	490807	OTHER		MEDICARE
12	1121069	OTHER		FIRST HEALTH
13	279891	OTHER		AMERIGROUP
14	5972317	OTHER		AETNA PPO
15	00V069N17	OTHER		VA MEDICARE
16	391480	OTHER		ANTHEM
17	5402030870	OTHER		AARP UNITED HEALTHCARE
18	8989317	OTHER		CIGNA
19	9458135	OTHER		CALIFORNIA MEDICAID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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