Kim, Theodore Tae-Hun

Kim, Theodore Tae-Hun is an individual health care provider with primary practice located at 13135 Route 50 Ste 215 , Fairfax VA 22033-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Kim, Theodore Tae-Hun can be contacted via phone (703) 378-5155.

Contact Information

Primary practice address
13135 Route 50 Ste 215 Fairfax VA 22033-1907
Phone: (703) 378-5155
Fax: (703) 378-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0101239690 Virginia

Profile Details

NPI number 1982694618
LBN Legal business name Kim, Theodore Tae-Hun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jan 26th, 2026 - about 9 months 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 1982694618 NPPES
Virginia MEDICAID 1982694618

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