Doctor Name: | YONGSOOK VICTORIA SUH |
NPI Number: | 1174664031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0101057456 |
Business Practice Address: | 8503 Arlington Blvd Suite 130 Fairfax, VA - 220314628 |
Business Phone Number: | 7038460097 |
Business Fax Number: | 7038460802 |
Mailing Address: | 8503 Arlington Blvd, Suite 130 FAIRFAX |
State: | VA |
Postal Code: | 220314628 |
Phone Number: | 7038460097 |
Fax Number: | 7038460802 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101057456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |