Organization
TERUAKI KODAMA, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERUAKI KODAMA M.D. (PRESIDENT)
(703) 573-6985
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 410, FAIRFAX, VA 22031-5207
(703) 573-6985
(703) 573-7154
Mailing address
8316 ARLINGTON BLVD, SUITE 410, FAIRFAX, VA 22031-5207
(703) 573-6985
(703) 573-7154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101048550
VA
Other
Enumeration date
06/30/2007
Last updated
12/20/2007
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