Individual
MR. YOUNG HOON BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14631 ROUTE 29 STE 209, CENTREVILLE, VA 20121-5827
(703) 830-1800
(703) 830-1801
Mailing address
14631 ROUTE 29 STE 209, CENTREVILLE, VA 20121-5827
(703) 830-1800
(703) 830-1801
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101236788
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010233682
—
VA
01
—
10001138
OPTIMA
VA
01
—
1000870001
DME PROVIDER
VA
01
—
145899
VALUE OPTIONS
—
01
—
185720
ANTHEM/BCBS
—
01
—
36489
CIGNA BEHAVIORAL HEALTH
—
01
—
3810004019
WV MEDICAID
WV
01
—
O86926M
SENTARA
—
01
—
P00279999
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
06/13/2024
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