Ikhinmwin, Magnus Kehinde
Ikhinmwin, Magnus Kehinde is an individual health care provider with primary practice located at 3650 Joseph Siewick Dr Ste 310 , Fairfax VA 22033-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ikhinmwin, Magnus Kehinde can be contacted via phone (703) 758-8800.Contact Information
Primary practice address
3650 Joseph Siewick Dr Ste 310
Fairfax VA 22033-1715
Phone: (703) 758-8800
Fax: (703) 758-9500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101057344 | Virginia |
Profile Details
NPI number | 1770681942 |
---|---|
LBN Legal business name | Ikhinmwin, Magnus Kehinde |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Nov 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770681942 | NPPES |
Other | 0163520 | MASS HEALTH | |
Other | 2614802 | MASS HEALTH | |
Other | C08517 | MASS HEALTH | |
Other | 08492993A | MASS HEALTH | |
Other | 319481 | MASS HEALTH | |
Other | 8989317 | MASS HEALTH | |
Other | 5402030870 | MASS HEALTH | |
MEDICAID | 5856141 | MASS HEALTH | |
Other | 110228673 | MASS HEALTH | |
Other | 279891 | MASS HEALTH | |
Other | 9458135 | MASS HEALTH | |
Other | 1121069 | MASS HEALTH | |
Other | F0780001 | MASS HEALTH | |
Other | 00V069N17 | MASS HEALTH | |
Other | 289502 | MASS HEALTH | |
Other | 289502 | MASS HEALTH | |
Other | 212121201 | MASS HEALTH | |
Other | 41838 | MASS HEALTH | |
Other | 5972317 | MASS HEALTH |
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