OrganizationActive
Chantilly Family Practice
NPI 1053592337 · Primary Care Clinic/Center · Chantilly, VA
Provider details
- NPI number
- 1053592337
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rajesh Mehra, Medical Director(703) 968-7277
- License
- 0102033582 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122
Phone: (703) 968-7277
Fax: (703) 968-5644
Approximate (ZIP-level) locationGet directions
Mailing address
4437 Brookfield Corporate Dr
Chantilly, VA 20151-2122
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.