| Internal Medicine Center Of Virginia | |
|
2826 Old Lee Hwy Suite 250 Fairfax VA 22031-4348 | |
| (703) 916-0005 | |
| (703) 916-1275 |
| Full Name | Internal Medicine Center Of Virginia |
|---|---|
| Speciality | Internal Medicine |
| Location | 2826 Old Lee Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | James J. Suh (PRESIDENT) |
| Authorized Official Contact | 7039160005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Center Of Virginia 2826 Old Lee Hwy Suite 250 Fairfax VA 22031-4348 Ph: (703) 916-0005 | Internal Medicine Center Of Virginia 2826 Old Lee Hwy Suite 250 Fairfax VA 22031-4348 Ph: (703) 916-0005 |
| NPI Number | 1831128917 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 0840297586 |
|---|---|
| Medicare Enrollment ID | O20061023000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831128917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101045666 (Virginia) | Primary |
| Provider Name | James Jinho Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295715894 PECOS PAC ID: 1658378393 Enrollment ID: I20061023000254 |
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