Individual
KE SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9805 WOODLEIGH LN, FAIRFAX, VA 22032-4060
(703) 259-9930
(703) 259-9940
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(703) 259-9930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101269909
VA
207R00000X
Internal Medicine Physician
D89988
MD
207R00000X
Internal Medicine Physician
MD27851
ME
Other
Enumeration date
03/20/2017
Last updated
05/14/2024
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