IndividualActive
Ashwin Balasubramaniam
NPI 1558749283 · Diagnostic Radiology Physician · Fairfax, VA
Provider details
- NPI number
- 1558749283
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- A167770 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2722 Merrilee Dr Ste 230
Fairfax, VA 22031-4400
Phone: (703) 698-4444
Approximate (ZIP-level) locationGet directions
Mailing address
2722 Merrilee Dr
Fairfax, VA 22031-4400
Additional practice locations (1)
- 505 Parnassus AveSan Francisco, CA 94143-2204Phone: (415) 514-5681Fax: (415) 476-0616
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.