Rheumatology and Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101229163 Issued in VA

Legal business name

RHEUMATOLOGY AND INTERNAL MEDICINE, PC

Practice address

3930 Walnut St
Suite 101
Fairfax, VA 22030-4738

Phone

(703) 349-1191

NPI assigned

Jun 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shanmugam Muukndan, MD

Title

Managing Partner

Phone

(703) 349-1191

Specialties & licenses 1

Addresses

Other names 1

• SHANMUGAM MUKUNDAN, MD Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijayabhanu Mahadevan, M.D.

  • Rheumatology Physician
  • Surprise, AZ
  • NPI 1083727333

  Internal Medicine

  NPD (past)
• Shanmugam Mukundan, M.D.

  • Internal Medicine Physician
  • Sun City, AZ
  • NPI 1730191610
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1043471949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 W VILLA HERMOSA",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-349-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY AND INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MUUKNDAN",
        "authorized_official_first_name": "SHANMUGAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-349-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101229163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANMUGAM MUKUNDAN, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Leigh Reynolds
• Taylor Anne Reynolds
• Samira Hannah Rezaian, D.O
• Eunice Rhee, L AC
• Lisa J. Rhein, LCSW
• Krista Suzanne Rhodenhizer, LPC, NCC
• Paul H. Rhyu, D.C., O.M.D
• Denise Ribas Cavalcante, LMSW
• Allyson L Ricciardiello, P.A.-C
• Cheryl Ekberg Rice, M.S. CCC-A

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.