- Practice location
- 3300 Gallows RD, Fairfax, VA 22031
- Phone
- 703-776-4001
- Fax
- —
- Last updated
- May 20, 2026
Vishaka Chetram is an Internal Medicine, Cardiovascular Disease based in Fairfax, VA. Vishaka Chetram practices in Fairfax, VA. The NPI Number for Vishaka Chetram is 1134745375 and holds a License No. 83037 (CT). The current practice location address for Vishaka Chetram is 3300 Gallows RD, Fairfax, VA 22031 and can be reached out via phone at 703-776-4001.
Provider Profile Details
- NPI Number
- 1134745375
- Provider Name
- Vishaka Chetram
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3300 Gallows RD, Fairfax, VA 22031
- Phone Number
- 703-776-4001
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 23, 2020
- Last Update Date
- May 20, 2026
- Certification Date
- May 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3300 Gallows RD
Fairfax, VA 22031 - City
- Fairfax
- State
- Virginia
- Zip
- 22031
- Phone Number
- 703-776-4001
Provider Business Mailing Address Details
- Address
- 3300 Gallows RD
Fairfax, VA 22031 - City
- Fairfax
- State
- VA
- Zip
- 22031
- Phone Number
- 703-776-4001
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 83037
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vishaka Chetram?
The NPI number of Vishaka Chetram is 1134745375. It was assigned on June 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Vishaka Chetram?
Vishaka Chetram is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in CT under license number 83037.
Where does Vishaka Chetram practice?
The practice location is 3300 Gallows RD, Fairfax, VA 22031. The office can be reached at 703-776-4001 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134745375 directly on the NPPES registry website.