Gil U. Kim, Md Pc | |
8316 Arlington Blvd Ste 414 Fairfax VA 22031-5216 | |
(703) 573-2525 | |
(703) 206-9568 |
Full Name | Gil U. Kim, Md Pc |
---|---|
Speciality | Clinic/Center |
Location | 8316 Arlington Blvd Ste 414, Fairfax, Virginia |
Authorized Official Name and Position | Gil Kim (PRESIDENT) |
Authorized Official Contact | 7035732525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gil U. Kim, Md Pc 8316 Arlington Blvd Ste 414 Fairfax VA 22031-5216 Ph: (703) 573-2525 | Gil U. Kim, Md Pc 8316 Arlington Blvd Ste 414 Fairfax VA 22031-5216 Ph: (703) 573-2525 |
NPI Number | 1346526043 |
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Provider Enumeration Date | 10/25/2011 |
Last Update Date | 08/16/2023 |
Medicare PECOS PAC ID | 2062673866 |
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Medicare Enrollment ID | O20120420000397 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346526043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101052114 (Virginia) | Primary |
Provider Name | Gil U Kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821141482 PECOS PAC ID: 5698936490 Enrollment ID: I20120420000414 |
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