Individual
MYOUNG KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12600 FAIR LAKES CIR, FAIRFAX, VA 22033-4904
(201) 747-3229
Mailing address
12600 FAIR LAKES CIR STE 100, FAIRFAX, VA 22033-4904
(703) 994-4511
(703) 994-4787
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101276027
VA
207P00000X
Emergency Medicine Physician
D94087
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
05/02/2019
Last updated
03/10/2026
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