Provider Demographics
NPI:1659319747
Name:CHOWLA, ARUN (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:CHOWLA
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 KENMORE AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1306
Mailing Address - Country:US
Mailing Address - Phone:703-922-7535
Mailing Address - Fax:703-922-7537
Practice Address - Street 1:4660 KENMORE AVE STE 220
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1306
Practice Address - Country:US
Practice Address - Phone:703-922-7535
Practice Address - Fax:703-922-7537
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2011-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-056878208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010102367Medicaid
VAVA 0101-056878OtherSTATE LIC#
VAVA 0101-056878OtherSTATE LIC#
VAG87696Medicare UPIN