Provider Demographics
NPI:1942012372
Name:RHEUMATOLOGY CENTER OF NORTHERN VIRGINIA
Entity type:Organization
Organization Name:RHEUMATOLOGY CENTER OF NORTHERN VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:HESUM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEGINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-305-7404
Mailing Address - Street 1:21351 GENTRY DR STE 125
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-8511
Mailing Address - Country:US
Mailing Address - Phone:571-545-4343
Mailing Address - Fax:571-545-4342
Practice Address - Street 1:21351 GENTRY DR STE 125
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8511
Practice Address - Country:US
Practice Address - Phone:571-545-4343
Practice Address - Fax:571-545-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty