| Peter D Kim MD PC | |
|
4208 Evergreen Ln Suite 222 Annandale VA 22003-3235 | |
| (703) 642-2288 | |
| (703) 642-1224 |
| Full Name | Peter D Kim MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 4208 Evergreen Ln, Annandale, Virginia |
| Authorized Official Name and Position | Peter D Kim (PHYSICIAN) |
| Authorized Official Contact | 7036422288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter D Kim MD PC 4208 Evergreen Ln Suite 222 Annandale VA 22003-3235 Ph: (703) 642-2288 | Peter D Kim MD PC 4208 Evergreen Ln Suite 222 Annandale VA 22003-3235 Ph: (703) 642-2288 |
| NPI Number | 1134309685 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 01/16/2014 |
| Medicare PECOS PAC ID | 8729000757 |
|---|---|
| Medicare Enrollment ID | O20051219000801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134309685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417925900 PECOS PAC ID: 9537139522 Enrollment ID: I20051219000844 |
| Provider Name | Hye Sun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164246013 PECOS PAC ID: 9739675893 Enrollment ID: I20251229002180 |
| Provider Name | Mi Song Kong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050108 PECOS PAC ID: 6709364730 Enrollment ID: I20260202000192 |
M Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7120 Braddock Rd, Annandale, VA 22003 Phone: 703-256-9770 |
Trang T. Vo-nguyen, MD, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Little River Tpke, Annandale, VA 22003 Phone: 703-750-6800 Fax: 703-354-4501 |
Lewis Family Medicine, PLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4307 Kenwyn Ct, Annandale, VA 22003 Phone: 703-598-0262 |
Imc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 Little River Tpke, Suite 100c, Annandale, VA 22003 Phone: 703-642-1004 Fax: 703-642-3232 |
Annandale Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6715 Little River Tpke Ste 201, Annandale, VA 22003 Phone: 703-535-5568 |
Bao Dinh DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Woodburn Rd Ste 311, Annandale, VA 22003 Phone: 703-828-0048 Fax: 703-574-8649 |