Taeho Kim (NPI# 1942305024, PAC ID# 3072514934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1942305024 |
| PAC ID by PECOS | 3072514934 |
| Professional Enrollment ID | I20070122000055 |
| Full Name | Taeho Kim |
| Address |
301 Maple Ave W Suite 110 Vienna VA 22180-4308 |
| Phone Number | 7032555530 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490050 | VIRGINIA HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 301 Maple Ave W, Suite 110, Vienna, VA 22180-4308 | 7032555530 |
| Street Address |
301 MAPLE AVE W SUITE 110 |
| City | VIENNA |
| State | VA |
| Zip | 22180-4308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon R Lemuel | Chiropractic | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 | |
| Edward G Movius | Internal Medicine | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Hazem A Elariny | General Surgery | 301 Maple Ave W, Suite 330, Vienna, VA 22180-4301 | |
| Seddigheh A Feisee | Internal Medicine | 301 Maple Ave W, Suite 420, Vienna, VA 22180-4301 | |
| Ali M Safa | Endocrinology | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Peter J Mcgarry | Chiropractic | Dr Brandon R Lemuel Dc PC | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Cassella | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| Sahar Moghadam Emami | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| John F Dobricky | Clinical Social Worker | 513 Maple Ave W, Second Floor, Vienna, VA 22180-4229 | |
| Mary J Bozzelli | Nurse Practitioner | Endocrine and Diabetes Center P.C. | 301 Maple Ave West, Vienna, VA 22180-4303 |
| Apryl Jann Ting Bacalso | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Catherine B Ohmes | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Nancy M Mcmahon | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Kimberly C Johnson | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Petya G Djoubrailov | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Parisa Pazoki | Physical Therapy | Ascend Physical Therapy and Wellness Inc. | 307 Maple Ave W, Suite D, Vienna, VA 22180-4307 |
| Find all physicians in zip 22180 | |||
| City | VIENNA |
| Zip Code | 22180 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | VIENNA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Taeho Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.