Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON ANDREW BONOMO, MD, PHD
Active Sole ProprietorDR. JASON ANDREW BONOMO, MD, PHD is a Cardiovascular Disease healthcare provider located in FAIRFAX, Virginia. NPI 1649628306 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · FAIRFAX, VA
Registration Details
- NPI Number
- 1649628306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2016 (10.158659114433 yrs)
- Last Updated
- Oct 28, 2022
- Licenses
-
0101274803 (VA)036.149207 (IL)0101274803 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8081 INNOVATION PARK DR STE 700FAIRFAX, VA, 220314867Browse VA providers · Browse ZIP 22031
- Phone
- 5714722900
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| PRADEEP R. NAYAK | M.D. | 1922000181 |
| MARK P. TANENBAUM | M.D. | 1114929247 |
| KETAN K. TRIVEDI | M.D. | 1457353583 |
| DR. F. JOSEPH HALLAL | M.D. | 1467459404 |
| DR. CHRISTINE D BUSSEY | M.D. | 1598763146 |
| GAUTAM RAMAKRISHNA | M.D. | 1801896097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.