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

Viv Fairfax, LLC

Organization Vascular & Interventional Radiology Physician · NPI 1396327052

Viv Fairfax, LLC is a Vascular & Interventional Radiology Physician in Fairfax, Virginia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13135 Lee Jackson Memorial Hwy Ste 145
Fairfax, VA 22033-1907
Phone: (215) 828-2387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X

Record details

NPI number1396327052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anish Shah — Ceo · (215) 828-2387
NPI enumeratedApril 22, 2021
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021
Mailing address14085 Crown Ct, Woodbridge, VA 22193-1458

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