Healthcare Provider Details

I. General information

NPI: 1316858640
Provider Name (Legal Business Name): MDRX PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PECAN ST SE
WASHINGTON DC
20032-2652
US

IV. Provider business mailing address

2910 GRAY ST
OAKTON VA
22124-2602
US

V. Phone/Fax

Practice location:
  • Phone: 771-444-9111
  • Fax:
Mailing address:
  • Phone: 337-349-1651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PARAG CHAUDHARI
Title or Position: PRESIDENT
Credential: MD
Phone: 337-349-1651