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THEODORE TAE-HUN KIM M.D.

Allergy and Immunology

Chantilly, Virginia

Provider NPI: 1982694618

Provider Information:
 THEODORE TAE-HUN KIM M.D.


Practice Location:
4229 LAFAYETTE CENTER DR UNIT 1760 CHANTILLY, VA 20151 US
Tel: 703-378-5155  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
VA0101239690

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM293910VA01
AETNA7190863VA01
MEDICARE PTANG02511A01DC01
AETNA1660925VA01
010326338VA05
UNITED HEALTH CARE5162897VA01
NCPPO774606VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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