Individual
CHIN OH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3930 PENDER DR STE 320, FAIRFAX, VA 22030-0986
(703) 817-7770
(703) 563-6274
Mailing address
3930 PENDER DR STE 320, FAIRFAX, VA 22030-0986
(703) 817-7770
(703) 563-6274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101240497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352368
BCBS
—
01
—
9160197
CIGNA
—
Enumeration date
01/18/2007
Last updated
08/22/2011
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