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Organization

REVIVA CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIHO CHOI MD (OWNER)
(301) 893-4568
Entity
Organization

Contact information

Practice address
4216 EVERGEEN LANE, STE 125, ANNANDALE, VA 22003-3456
(240) 284-9501
(703) 662-6165
Mailing address
5185 MACARTHUR BLVD NW # 713, WASHINGTON, DC 20016-3341
(301) 893-4568
(240) 427-9710

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/08/2025
Last updated
03/19/2026
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