Healthcare Provider Details

I. General information

NPI: 1295775013
Provider Name (Legal Business Name): VIRGINIA NEPHROLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 ARLINGTON BLVD SUITE 602
FAIRFAX VA
22031-5207
US

IV. Provider business mailing address

8316 ARLINGTON BLVD SUITE 602
FAIRFAX VA
22031-5207
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-0347
  • Fax: 703-560-5265
Mailing address:
  • Phone: 703-560-0347
  • Fax: 703-560-5265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101232784
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101232784
License Number StateVA

VIII. Authorized Official

Name: KANCHAN ANAND
Title or Position: PRESIDENT
Credential: MD
Phone: 703-560-0347