Organization Name: | GALLOWS INTERNAL MEDICINE, INC. |
NPI Number: | 1356603401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN K MIN (OWNER) |
Mailing Address: | 8408 Arlington Blvd Fairfax |
State: | VA US |
Postal Code: | 220314608 |
Phone Number: | 7034628711 |
Fax Number: | 7034628719 |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101050013 |
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. |