Healthcare Provider Details

I. General information

NPI: 1023492071
Provider Name (Legal Business Name): DR. CHRIS OBIARINZE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S CARLIN SPRINGS RD STE 508
ARLINGTON VA
22204-1088
US

IV. Provider business mailing address

510 HAMBURG TPKE STE 108
WAYNE NJ
07470-2033
US

V. Phone/Fax

Practice location:
  • Phone: 703-566-0803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number01749
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: