Individual
DR. TREVOR KYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 788-8418
Mailing address
2722 MERRILEE DR STE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101272862
VA
2085R0202X
Diagnostic Radiology Physician
2025043999
MO
2085R0202X
Diagnostic Radiology Physician
A203311
CA
2085R0202X
Diagnostic Radiology Physician
MD-55435
IA
2085R0204X
Vascular & Interventional Radiology Physician
0101272862
VA
2085R0204X
Vascular & Interventional Radiology Physician
MD-55435
IA
390200000X
Student in an Organized Health Care Education/Training Program
MT209550
PA
Other
Enumeration date
06/04/2015
Last updated
02/25/2026
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