Kim, Edward C

Kim, Edward C is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 201 , Manassas VA 20110-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Edward C can be contacted via phone (703) 368-6819.

Contact Information

Primary practice address
8640 Sudley Rd Ste 201 Manassas VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101045874 Virginia

Profile Details

NPI number 1275538076
LBN Legal business name Kim, Edward C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 7th, 2018 - about 6 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275538076 NPPES
Virginia MEDICAID 005847052
Virginia Other 2431908
Virginia Other 284691
Virginia Other 7206160
Virginia Other 92130005
Virginia Other 317528
Virginia Other 3781769003
Virginia Other 317527
Virginia Other 541604636

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