Prima Medgov

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMA MEDGOV

Practice address

3903 Fair Ridge Dr Ste 218
Fairfax, VA 22033-2945

Phone

(703) 870-3750

NPI assigned

Jan 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Chethana V Rao, MDNPI 1710917869

Title

President

Phone

(703) 879-3750

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chethana Rao, MD

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1710917869
  NPD Authorized official

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1396498440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR STE 218",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332945",
            "telephone_number": "703-870-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 FAIR RIDGE DR STE 218",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332945",
            "telephone_number": "703-870-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA MEDGOV",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "CHETHANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-879-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy S. Price, LCSW
• Frances Jillian Priesmeyer, PHD
• Gerald Priest, CRNA
• Jenesis Aliyah Priester
• Isabel Maria Prieto, RBT
• Prima Medicine
• Andrew Lane Primmer, CSA
• Primus Physical Therapy Fairfax
• Princeton Longevity Medical Group of Virginia LLC
• Ryan Jamal Prioleau

• 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 Jan 29, 2022; 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.