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

Vishaka Chetram

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134745375

Vishaka Chetram is a Cardiovascular Disease (Cardiology) in Fairfax, Virginia. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3300 Gallows Rd
Fairfax, VA 22031
Phone: (703) 776-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 Riverside Ave, Bristol, CT 06010-6312 — (860) 582-3235

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 83037 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134745375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address3300 Gallows Rd, Fairfax, VA 22031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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