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Organization
VIRGINIA NEPHROLOGY GROUP, LLP
Active
Organization
VIRGINIA NEPHROLOGY GROUP, LLP
Active
Other names
Drs Bazaz and Cheriyan, Partnership
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENUKA SOTHINATHAN M.D. (MANAGING PARTNER)
(703) 246-9246
Entity
Organization
Contact information
Practice address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Mailing address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4743
CAREFIRST
—
Enumeration date
10/03/2006
Last updated
08/09/2023
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