Organization Active NPI

Washington Vascular Specialists of Fairfax

Doing business as WVS Fairfax

  • Ambulatory Surgical Clinic/Center
  • Fairfax, VA
National Provider Identifier
1285493650
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WASHINGTON VASCULAR SPECIALISTS OF FAIRFAX
Doing business as
WVS Fairfax
Practice address
2812 Old Lee Hwy Ste 100B
Fairfax, VA 22031-4315
Phone
(703) 596-3800
Fax
(703) 596-3700
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mubashar Choudry, MD
Title
Owner
Phone
(703) 596-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2812 Old Lee Hwy Ste 100B
Fairfax, VA 22031-4315

Mailing address

2812 Old Lee Hwy Ste 100B
Fairfax, VA 22031-4315
Phone (703) 596-3800

Other names 1

  • WVS FAIRFAX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1285493650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 100B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314315",
            "telephone_number": "703-596-3800",
            "fax_number": "703-596-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 100B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314315",
            "telephone_number": "703-596-3800",
            "fax_number": "703-596-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VASCULAR SPECIALISTS OF FAIRFAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MUBASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-596-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WVS FAIRFAX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.