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

Virginia Functional Medicine, Inc

Organization Internal Medicine Physician · NPI 1194011783

Virginia Functional Medicine, Inc is an Internal Medicine Physician in Vienna, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Pine St SE Ste 320
Vienna, VA 22180-4861
Phone: (703) 938-1421
Fax: (703) 938-1424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101249229 (VA)

Record details

NPI number1194011783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaj Christensen — Vp · (703) 938-1421
NPI enumeratedJune 22, 2011
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address410 Pine St Se, Suite 320, Vienna, VA 22180-4861

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