Chung, Simon Sinmin

Chung, Simon Sinmin is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chung, Simon Sinmin can be contacted via phone (571) 472-4724.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Phone: (571) 472-4724
Fax: (571) 472-0241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101044320 Virginia

Profile Details

NPI number 1386636579
LBN Legal business name Chung, Simon Sinmin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386636579 NPPES
Virginia MEDICAID 010272891
Virginia Other 4312086
Virginia Other 502647
Virginia Other 1224156
Virginia Other 540911708
Virginia Other 188960
Virginia Other 192394
Virginia Other N1900014

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