Edwin H Kim, MD | |
8629 Sudley Rd, Suite 102, Manassas, VA 20110-4590 | |
(703) 361-3030 | |
(703) 361-2687 |
Full Name | Edwin H Kim |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 8629 Sudley Rd, Manassas, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912977034 | NPI | - | NPPES |
10038383 | Medicaid | VA | |
10038294 | Medicaid | VA | |
6688-0027 | Other | VA | CAREFIRST |
10038341 | Medicaid | VA | |
10029139 | Medicaid | VA | |
10038316 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101226427 (Virginia) | Primary |
Entity Name | Singleton Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
Mailing Address | Practice Location Address |
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Edwin H Kim, MD 8629 Sudley Rd, Suite 102, Manassas, VA 20110-4590 Ph: (703) 361-3030 | Edwin H Kim, MD 8629 Sudley Rd, Suite 102, Manassas, VA 20110-4590 Ph: (703) 361-3030 |
Dr. Liisa L Laakso, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Michael B. Robins, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-369-8341 Fax: 703-369-8423 | |
Dr. Brian T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Dr. Peter J Ahn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Joshua C Pleasure, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Dr. Dalton R Daniel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 | |
Philip N. Massey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-361-3030 Fax: 703-361-2687 |