Individual
DR. BONNIE SEJEONG AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-6730
Mailing address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-6730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054381
IL
2085R0202X
Diagnostic Radiology Physician
Primary
0101257296
VA
2085R0202X
Diagnostic Radiology Physician
35.122000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089451
—
OH
01
—
0101257296
STATE LICENSE
VA
01
—
35.122000
LICENSE
OH
Enumeration date
06/26/2008
Last updated
11/05/2014
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