Basic Information
| Provider Information | |||||||||
| NPI: | 1962480517 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHINERY | ||||||||
| FirstName: | ROGER | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 N. BEAUREGARD ST | ||||||||
| Address2: | STE 360 | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7039249004 | ||||||||
| FaxNumber: | 7039249067 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 E GLEBE RD | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223052938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035355568 | ||||||||
| FaxNumber: | 7035351583 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2006 | ||||||||
| LastUpdateDate: | 07/22/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101048328 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.