| David Kim, MD | |
|
10721 Main St Ste 304, Fairfax, VA 22030-6902 | |
| (703) 349-4205 | |
| (703) 349-4205 |
| Full Name | David Kim |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 28 Years |
| Location | 10721 Main St Ste 304, Fairfax, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073530523 | NPI | - | NPPES |
| 266870 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101234009 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fauquier Hospital | Warrenton, VA | Hospital |
| Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
| Uva Health Prince William Medical Center | Manassas, VA | Hospital |
| Entity Name | Spine and Sports Regenerative Medicine Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114764107 PECOS PAC ID: 0244771988 Enrollment ID: O20240920001476 |
| Mailing Address | Practice Location Address |
|---|---|
| David Kim, MD 10721 Main St Ste 304, Fairfax, VA 22030-6902 Ph: (037) 349-4205 | David Kim, MD 10721 Main St Ste 304, Fairfax, VA 22030-6902 Ph: (703) 349-4205 |
Dr. Su Min Ko, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030 Phone: 703-277-3360 Fax: 703-277-3370 |
Dr. Loren L. Friedman, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 8503 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-280-5390 Fax: 703-280-9596 |