Provider Demographics
NPI:1790090439
Name:CHAUDHRY, RAFIA ISHFAQ (MD)
Entity type:Individual
Prefix:DR
First Name:RAFIA
Middle Name:ISHFAQ
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3930 WALNUT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4750
Mailing Address - Country:US
Mailing Address - Phone:703-246-9246
Mailing Address - Fax:703-246-9257
Practice Address - Street 1:3930 WALNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4750
Practice Address - Country:US
Practice Address - Phone:703-246-9246
Practice Address - Fax:703-246-9257
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2024-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101280854207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04153100Medicaid
DC010502216Medicaid
TNI20140520001462OtherMEDICARE ENROLLMENT ID
VA30017789790002Medicaid