Provider Demographics
NPI:1487405064
Name:KIDNEY SPECIALISTS OF VIRGINIA PLLC
Entity type:Organization
Organization Name:KIDNEY SPECIALISTS OF VIRGINIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEPHROLOGIST - MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:USMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-855-0213
Mailing Address - Street 1:9421 DEEP CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9216
Mailing Address - Country:US
Mailing Address - Phone:202-855-0213
Mailing Address - Fax:
Practice Address - Street 1:10333 SOUTHPOINT LANDING BLVD # 161
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8042
Practice Address - Country:US
Practice Address - Phone:540-899-3107
Practice Address - Fax:540-899-3183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty