Healthcare Provider Details

I. General information

NPI: 1912820671
Provider Name (Legal Business Name): NOVA ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11351 RANDON HILLS RD UNIT 350
FAIRFAX VA
22030
US

IV. Provider business mailing address

11351 RANDON HILLS RD UNIT 350
FAIRFAX VA
22030
US

V. Phone/Fax

Practice location:
  • Phone: 703-378-1734
  • Fax: 703-378-1735
Mailing address:
  • Phone: 703-378-1734
  • Fax: 703-378-1735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NISHA CHAND
Title or Position: OWNER
Credential: MD
Phone: 703-728-7736