Individual
HERNAN I VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 200, FAIRFAX, VA 22033-1712
(703) 280-5390
(703) 620-0952
Mailing address
3650 JOSEPH SIEWICK DR STE 200, FAIRFAX, VA 22033-1712
(703) 280-5390
(703) 620-0952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101247298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A488230
—
CA
05
—
1285743146
—
VA
01
—
155102ZAH
MEDICARE
—
Enumeration date
08/30/2006
Last updated
03/17/2018
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