Mirkin, Kenneth R

Mirkin, Kenneth R is an individual health care provider with primary practice located at 3028 Javier Rd Ste 500 , Fairfax VA 22031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mirkin, Kenneth R can be contacted via phone (703) 698-8960.

Contact Information

Primary practice address
3028 Javier Rd Ste 500 Fairfax VA 22031
Phone: (703) 698-8960
Fax: (571) 494-5794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101036056 Virginia

Profile Details

NPI number 1952372542
LBN Legal business name Mirkin, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 7th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952372542 NPPES
Other 187598 ANTHEM BCBS
Other 79160004 ANTHEM BCBS
Other 231620 ANTHEM BCBS
Other 336682 ANTHEM BCBS
MEDICAID 6096026 ANTHEM BCBS
Other 100010309 ANTHEM BCBS
Other 178732 ANTHEM BCBS
Other 341902 ANTHEM BCBS
Other 740013 ANTHEM BCBS

Popular Providers