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Vishaka Chetram
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1134745375

Vishaka Chetram is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Vishaka Chetram practices in Fairfax, VA. The NPI Number for Vishaka Chetram is 1134745375 and holds a License No. (Virginia).

The current practice location address for Vishaka Chetram is 3300 Gallows Rd, Fairfax, VA and can be reached out via phone at 703-776-4001.

Location: 3300 Gallows Rd, Fairfax, VA, 22031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134745375
Provider Name
Vishaka Chetram
Credential
Provider Entity Type
Individual
Gender
Male
Address
3300 Gallows Rd, Fairfax, VA, 22031
Phone Number
703-776-4001
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3300 Gallows Rd
City
Fairfax
State
Virginia
Zip
22031
Phone Number
703-776-4001
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Gallows Rd
City
Fairfax
State
Virginia
Zip
22031
Phone Number
703-776-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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