Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northern Virginia Nephrology Associates PC

Organization Nephrology Physician · NPI 1770632630

Northern Virginia Nephrology Associates PC provides Nephrology Physician services 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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