Provider Demographics
NPI:1902197791
Name:CHEGINI, HESUM A (DO)
Entity type:Individual
Prefix:DR
First Name:HESUM
Middle Name:A
Last Name:CHEGINI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21351 GENTRY DR STE 125
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-8511
Mailing Address - Country:US
Mailing Address - Phone:571-545-4343
Mailing Address - Fax:
Practice Address - Street 1:21351 GENTRY DR STE 125
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8511
Practice Address - Country:US
Practice Address - Phone:571-545-4343
Practice Address - Fax:571-545-4342
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102204477207RR0500X
MDH81287207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology