Mr Daniel Edward Keim, MD | |
2720 Prosperity Ave Ste D, Fairfax, VA 22031-4360 | |
(703) 226-2280 | |
(703) 752-1713 |
Full Name | Mr Daniel Edward Keim |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 2720 Prosperity Ave Ste D, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588752398 | NPI | - | NPPES |
006739792 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 0101033509 (Virginia) | Primary |
Entity Name | Pediatric Specialists Of Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699119818 PECOS PAC ID: 7719110154 Enrollment ID: O20140509000026 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel Edward Keim, MD 2720 Prosperity Ave Ste D, Fairfax, VA 22031-4360 Ph: (703) 226-2280 | Mr Daniel Edward Keim, MD 2720 Prosperity Ave Ste D, Fairfax, VA 22031-4360 Ph: (703) 226-2280 |
Ho Chung Tu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 Phone: 703-359-0245 Fax: 928-436-3339 | |
Dr. Lindsey Waldman, Pediatrics Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031 Phone: 703-839-8797 | |
Dr. Laura E. Byrnes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. Julie-ann M Crewalk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031 Phone: 703-226-2280 Fax: 703-752-1713 | |
Sandy L. Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919 | |
Dr. James R Baugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031 Phone: 703-573-2432 Fax: 703-280-9350 | |
Benjamin Isaac Enav, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031 Phone: 571-314-0444 Fax: 855-237-3628 |