| Landmark Internal Medicine, Llc | |
|
6300 Stevenson Ave Suite B Alexandria VA 22304-3576 | |
| (703) 370-0778 | |
| (703) 212-7083 |
| Full Name | Landmark Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6300 Stevenson Ave, Alexandria, Virginia |
| Authorized Official Name and Position | John K Kim (MD) |
| Authorized Official Contact | 7033700785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Internal Medicine, Llc Po Box 2646 Fairfax VA 22031-0646 Ph: (703) 323-0589 | Landmark Internal Medicine, Llc 6300 Stevenson Ave Suite B Alexandria VA 22304-3576 Ph: (703) 370-0778 |
| NPI Number | 1285832535 |
|---|---|
| Provider Enumeration Date | 07/09/2007 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285832535 | NPI | - | NPPES |
| DA3798 | Other | DC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101230358 (Virginia) | Primary |
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