Hong Gastroenterology Pc | |
7004 Little River Tpke Ste A Annandale VA 22003-3201 | |
(703) 642-0900 | |
(703) 642-3995 |
Full Name | Hong Gastroenterology Pc |
---|---|
Speciality | Internal Medicine |
Location | 7004 Little River Tpke, Annandale, Virginia |
Authorized Official Name and Position | Mu K Hong (PHYSICIAN) |
Authorized Official Contact | 7036420900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hong Gastroenterology Pc 7004 Little River Tpke Ste A Annandale VA 22003-3201 Ph: (703) 642-0900 | Hong Gastroenterology Pc 7004 Little River Tpke Ste A Annandale VA 22003-3201 Ph: (703) 642-0900 |
NPI Number | 1215257803 |
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Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Medicare PECOS PAC ID | 2365572286 |
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Medicare Enrollment ID | O20100618000568 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215257803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101045707 (Virginia) | Primary |
Provider Name | Mu K Hong |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346251196 PECOS PAC ID: 8022144294 Enrollment ID: I20100326000350 |
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