Chantilly Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0102033582 Issued in VA

Legal business name

CHANTILLY FAMILY PRACTICE

Practice address

4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122

Phone

(703) 968-7277

Fax

(703) 968-5644

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh N Mehra, D.O

Title

Medical Director

Phone

(703) 968-7277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1053592337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-968-7277",
            "fax_number": "703-968-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-968-7277",
            "fax_number": "703-968-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANTILLY FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-968-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0102033582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Chandra, MD
• Chantilly Chiropractic Center PC
• Chantilly Dental Arts Center PLLC
• Chantilly Dentist PC
• Chantilly Family Medicine LLC
• Chantilly Foot & Ankle Center, LLC
• Chantilly Modern Dentistry, PC (Chantilly Modern Dentistry)
• Chantilly Specialists, LTD.
• Chantilly Specialists, LTD. of Virginia
• Chantilly Specialists, LTD. of Virginia

• Primary Care Clinic/Center in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.