Organization
NORTHERN VIRGINIA GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA CHAND (OWNER)
(703) 378-1734
Entity
Organization
Contact information
Practice address
46169 WESTLAKE DR STE 200, STERLING, VA 20165-5875
(703) 378-1734
(703) 378-1735
Mailing address
46169 WESTLAKE DR STE 200, STERLING, VA 20165-5875
(703) 378-1734
(703) 378-1735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055991
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001014
MEDICARE MIN
VA
Enumeration date
02/04/2011
Last updated
04/27/2026
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