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Individual

DR. MI HWA KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3129
(703) 766-9725
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
(703) 766-9725

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101038929
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050084074
RAILROAD MEDICARE
VA
01
1047026
WORKER'S COMPENSATION
WA
05
1649371014
VA
01
286296
ANTHEM
VA
01
297594
AMERIGROUP
VA
01
4526-8625
CARE FIRST
VA
01
484645
NCPPO
VA
01
K142-0001
CARE FIRST 2005
VA
Enumeration date
09/26/2006
Last updated
03/16/2015
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