Provider Demographics
NPI:1952325607
Name:VIJAY K. CHADHA, MD, P.C.
Entity Type:Organization
Organization Name:VIJAY K. CHADHA, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-478-0325
Mailing Address - Street 1:1800 TOWN CENTER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3238
Mailing Address - Country:US
Mailing Address - Phone:703-478-0325
Mailing Address - Fax:703-478-2702
Practice Address - Street 1:1800 TOWN CENTER DR STE 214
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3238
Practice Address - Country:US
Practice Address - Phone:703-478-0325
Practice Address - Fax:703-478-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101037696207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA01850001OtherCAREFIRST
VA25258OtherKAISER
VA4091709OtherAETNA
VA049553OtherANTHEM
VA281606OtherAMERIGROUP
VA460552OtherAETNA HMO
VA820600OtherMAMSI
VA281606OtherAMERIGROUP
VA01850001OtherCAREFIRST