Viv Fairfax, LLC

NPI #1396327052 in Fairfax, Virginia

Provider Information

NPI Number
1396327052
Entity Type
Organization
Organization Name
Viv Fairfax, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 22, 2021
Last Updated
Apr 22, 2021

Practice Location

Address
13135 LEE JACKSON MEMORIAL HWY STE 145
ZIP Code
22033-1907
Phone
(215) 828-2387

Authorized Official

Name
DR. ANISH P SHAH, MD
Title
CEO
Phone
(215) 828-2387

Specialties & Taxonomy Codes

Specialty
Radiology - Vascular & Interventional RadiologyVascular & Interventional Radiology
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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