Park, Jin Hyuk

Park, Jin Hyuk is an individual health care provider with primary practice located at 8500 Executive Park Ave Ste 110 , Fairfax VA 22031-2228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Park, Jin Hyuk can be contacted via phone (703) 573-0504.

Contact Information

Primary practice address
8500 Executive Park Ave Ste 110 Fairfax VA 22031-2228
Phone: (703) 573-0504
Fax: (703) 573-4856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101232879 Virginia

Profile Details

NPI number 1306824909
LBN Legal business name Park, Jin Hyuk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 21st, 2022 - about 2 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 1306824909 NPPES
Virginia MEDICAID 006736262

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