Organization
VIRGINIA INTEGRATIVE PRACTICE
Active
Organization
VIRGINIA INTEGRATIVE PRACTICE
Active
Other names
VIVA Center
Organization subpart
No
Provider details
NPI number
Authorized official
VAJRA JAI (EXECUTIVE DIRECTOR)
(888) 299-4570
Entity
Organization
Contact information
Practice address
8996 BURKE LAKE RD STE 303, BURKE, VA 22015-1607
(888) 299-4570
(888) 398-0897
Mailing address
8996 BURKE LAKE RD STE 303, BURKE, VA 22015-1607
(888) 299-4570
(888) 398-0897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101242686
VA
207V00000X
Obstetrics & Gynecology Physician
0101244564
VA
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up