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MICHAEL D KIM MD PC NPI 1609812510


NPI Information

NPI: 1609812510
Provider Name: MICHAEL D KIM MD PC

Doing Business As: FAIRFAX FAMILY MEDICINE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10801 MAIN ST
SUITE 700
FAIRFAX, VA
ZIP 22030
Phone: (703) 591-4100
Get Directions

MICHAEL D KIM MD PC is a family medicine in Fairfax, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MICHAEL D KIM MD PC NPI is 1609812510. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fairfax Family Medicine Center.

The provider's business location address is:

10801 MAIN ST
SUITE 700
FAIRFAX, VA
ZIP 22030-745
Phone: (703) 591-4100
Fax: (703) 591-5380

The provider's authorized official is Michael D Kim .
The authorized official title is President and has the following contact phone number (703) 591-4100.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 10/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0101233609VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12110066OTHERMAMSI PPO
2010002834MEDICAIDVIRGINIA
3H9840001OTHERCAREFIRST
4465828OTHERANTHEM BCBS
5625622OTHERNCPPO
6G01209MEDICARE ID-TYPE UNSPECIFIED
77741476OTHERAETNA PPO
83314356OTHERAETNA HMO
9G713868MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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