Search › Virginia › 207RC0000X
Vishaka Chetram
NPI 1134745375 · on the registry since 2020
Practice
- Address
- 3300 Gallows Rd
Fairfax, VA 22031 - Phone
- (703) 776-4001
- Clinicians at this address
- 4
Additional practice sites
- 15 Riverside Ave, Bristol, CT
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 390200000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia