Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northern Virginia Nephrology Associates PC

Organization Nephrology Physician · NPI 1770632630

Northern Virginia Nephrology Associates PC is a Nephrology Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3650 Joseph Siewick Dr Ste 310
Fairfax, VA 22033-1715
Phone: (703) 758-8800
Fax: (703) 758-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 0101057344 (VA)

Record details

NPI number1770632630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Magnus Ikhinmwin — Medical Director · (703) 204-1614
NPI enumeratedJanuary 9, 2007
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address10882 Mimosa Place, Oakton, VA 22124

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