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and Direct Physician Care

Our mission is to deliver comprehensive, creative care for the whole individual and to revitalize the patient and physician's relationship. By combining the best of eastern and western medicine, we tailor unique and effective treatments for a variety of rheumatologic and internal medicine conditions. 

Except for medicare, we are a Direct Pay practice. This allows us to provide high-quality, time-intensive care to our patients.   Read more in the FAQ's section


General medical care from a double board-certified Internist and rheumatologist

Comprehensive care for autoimmune and musculoskeletal disease

A complementary medical practice with great benefit for a wide variety of conditions

Dr. Zarbalian takes a holistic, multi-faceted approach to these conditions among others:

  • Chronic pain, acute injury, and musculoskeletal disorders 

    • Fibromyalgia and myofascial pain syndromes​

    • Ehlers-Danlos syndrome, with a focus on hypermobility subtype

    • Osteoarthritis

    • Chronic pain due to a variety of conditions

  • Autoimmune and allergic conditions 

    • Including rheumatoid arthritis, lupus (SLE), Sjogren's, and sarcoidosis among many others​

    • Mast cell activation syndrome (MCAS) 

    • Vasculitis and raynaud's phenomenon 

    • Polymyalgia rheumatica and Temporal arteritis

    • Autoimmune diseases effecting any number of organs (eye/ears/sinuses, lung, kidney, intestines, heart, thyroid)

      • oftentimes, Dr. Zarbalian will work in collaboration with the specialist who made the initial diagnosis.

  • Neurologic disorders 

    • Peripheral neuropathy​, small fiber nerve disorders

    • Chronic fatigue syndrome (also can be classified as an autoimmune condition)

    • Autonomic dysfunction / dysautonomia and attendant symptoms (POTS)

  • Digestive disorders 

    • Irritable bowel syndrome, bloating, reflux

    • Inflammatory bowel disease and its associated musculoskeletal symptoms

  • Psychologic conditions

    • Anxiety states, panic disorders, depression and insomnia often are major factors in chronic pain and autoimmune conditions.

      • Acupuncture and herbal approaches can be as effective as traditional allopathic approaches to alleviate mild depression, anxiety, and high stress states. 

Now accepting new patients

Our office is located in Vienna, Virginia but patients come to see us from as far as West Virginia, Pennsylvania, Ohio, and the Carolinas

Dr. Zarbalian is licensed to practice medicine in Virginia and Maryland.​

Schedule your first visit today!  

If you are having difficulty scheduling, call us or send a message.  

226 Maple Ave. West

Suite 202
Vienna, Virginia 22180

Phone: 703-372-2646

Fax : 703-828-0255

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