| Dr Edward C Kim, MD | |
|
8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | |
| (703) 368-6819 | |
| (703) 330-2923 |
| Full Name | Dr Edward C Kim |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 36 Years |
| Location | 8640 Sudley Rd Ste 201, Manassas, 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 |
|---|---|---|---|
| 1275538076 | NPI | - | NPPES |
| 005847052 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101045874 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
| Novant Prince William Medical Center | Manassas, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates Va, Llc | 2466449228 | 52 |
| Entity Name | Gastroenterology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518990472 PECOS PAC ID: 2466449228 Enrollment ID: O20040426001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward C Kim, MD One Gi Credentialing Department, Po Box 381468, Germantown, TN 38183-1468 Ph: () - | Dr Edward C Kim, MD 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 Ph: (703) 368-6819 |
Myung W Choi, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
David Mark Demaria, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 302, Manassas, VA 20110 Phone: 703-369-5959 Fax: 703-369-7473 | |
Juan Weiss, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 9335 Amaryllis Ave., Manassas, VA 20110 Phone: 703-963-6791 | |
Seraphine A Soosaimanickam, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10701 Rosemary Dr, Kaiser Permanente-manassas, Manassas, VA 20109 Phone: 703-257-3000 Fax: 703-257-3133 | |
Dr. Nina Phatak, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
Dr. Muhammad Mannan Siddiqui, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9450 Innovation Dr, Manassas, VA 20110 Phone: 571-350-8400 Fax: 571-222-2202 | |
Dr. Darren S Baroni, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 |