Organization
AMBULATORY ANESTHESIA SERVICES INC
Active
Other names
Ambulatory Anesthesia Service
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KIM MD (PRESIDENT/OWNER)
(703) 863-8767
Entity
Organization
Contact information
Practice address
10730 MAIN STREET, FAIRFOX, VA 22030
(301) 317-0020
(301) 317-0028
Mailing address
10449 WHITE GRANITE DR UNIT 129, OAKTON, VA 22124-8005
(703) 863-8767
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2358917
AETNA
DC
01
—
2358917
AETNA
PA
01
—
2358917
AETNA
VA
01
—
268616
UNITED HEALTH CARE
VA
01
—
9105
BLUE SHIELD
DC
Enumeration date
09/06/2006
Last updated
06/17/2024
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