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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