MR. YOUNG KWAN KIM (NPI# 1932106911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932106911 |
| Entity Type | Individual |
| Full Name | MR. YOUNG KWAN KIM |
| Credential | D.O. |
| Practice Address |
8569 Sudley Rd Ste B Manassas VA 20110-3866 |
| Practice Telephone | 7032577749 |
| Practice Fax Number | 8552544529 |
| Mailing Telephone | 7032577749 |
| Mailing Fax Number | 8552544529 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0102050147 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1083176523 | Young K Kim | Acupuncturist | 1027 4th Ave, Los Angeles, CA 90019-2018 | 2019-04-03 |
| 1336611938 | Young Ho Kim | Acupuncturist | 2966 Wilshire Blvd # A, Los Angeles, CA 90010-1128 | 2018-12-20 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1467980482 | Young Mi Kim | Social Worker | 22252 Parched Dr, Calabasas, CA 91302-6117 | 2017-06-03 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1801347992 | Young O Kim | Acupuncturist | 3000 W Olympic Blvd Ste 301, Los Angeles, CA 90006-6512 | 2016-10-24 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1245584804 | Young Kyu Kim | Acupuncturist | 3130 Wilshire Blvd Ste 308, Los Angeles, CA 90010-1206 | 2012-11-05 |
| Street Address |
8569 SUDLEY RD STE B |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538566716 | Ladonna Wagner | Nurse Practitioner | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2014-12-03 |
| 1588994255 | Sheila Khianey | Internal Medicine | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2010-01-01 |
| 1942489638 | Ahsan Qayyum Jafir | Internal Medicine | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2007-10-30 |
| 1306040142 | Kimberley Dawn Ryan | Nurse Practitioner | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2007-06-14 |
| 1821076142 | Ara Matthew Maranian | Internal Medicine | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
| 1356530331 | Nicole Penke | Internal Medicine | 8140 Ashton Ave Ste 120, Manassas, VA 20109-5699 | 2007-10-16 |
| 1548471675 | Sheila Mehra Chen | Internal Medicine | 8405 Dorsey Cir, Suite 101, Manassas, VA 20110-8304 | 2007-05-24 |
| 1295805935 | Remedios Lopez Deleon | Internal Medicine | 8638 Centreville Rd, Manassas, VA 20110-5264 | 2006-11-09 |
| 1770688004 | Comprehensive Internal Medicine Associates | Internal Medicine | 9303 Forest Point Circle, Manassas, VA 20110 | 2006-09-13 |
| 1952346066 | Navdeep Mathur | Internal Medicine | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2006-06-20 |
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1740241314 | John L Antus | Internal Medicine | 9306 Forest Point Cir, Manassas, VA 20110-4700 | 2006-03-31 |
| 1588649990 | Gilbert Raymond Irwin | Internal Medicine | 9590 Surveyor Ct, Manassas, VA 20110-4406 | 2005-12-08 |
| 1659356079 | Thomas Charles Dotson | Internal Medicine | 10945 George Mason Cir Ste 105, Manassas, VA 20110-2234 | 2005-12-08 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.