Fairfax Family Medicine Center

LBN: Michael D Kim Md Pc
Fairfax Family Medicine Center is an health care organization with primary practice located at 10801 Main St Suite 700, Fairfax VA 22030-4745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Michael D Kim Md Pc can be contacted via phone (703) 591-4100, or through Kim, Michael D via phone (703) 591-4100.

Contact Information

Primary practice address
10801 Main St Suite 700 Fairfax VA 22030-4745
Phone: (703) 591-4100
Fax: (703) 591-5380
Website:
Map and Directions
Authorized official contact:
Name: Kim, Michael D Doctor of Medicine (MD)
Phone: (703) 591-4100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101233609 Virginia

Profile Details

NPI number 1609812510
LBN Legal business name Michael D Kim Md Pc
DBA Doing business as Fairfax Family Medicine Center
Authorized official Kim, Michael D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609812510 NPPES
Other 2110066 MAMSI PPO
Other 625622 MAMSI PPO
Other 465828 MAMSI PPO
MEDICAID 010002834 MAMSI PPO
Other 3314356 MAMSI PPO
Other 7741476 MAMSI PPO
Other H9840001 MAMSI PPO

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