Bonmyong Lee in Fairfax - Diagnostic Radiology

Bonmyong Lee - NPI 1093923047

Bonmyong Lee is a Diagnostic Radiology in Fairfax, Virginia. Bonmyong Lee practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Bonmyong Lee is 1093923047. The last update date is 2014-02-20.

Bonmyong Lee's current location address is 2722 Merrilee Dr Ste 230, Fairfax, Virginia. You can contact this provider via phone number 7036984444 and fax number 7032040116. The mailing address for Bonmyong Lee is 2722 Merrilee Dr Ste 230, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonmyong Lee
Address 2722 Merrilee Dr Ste 230, Fairfax, Virginia
Phone Number 7036984444
Fax Number 7032040116
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093923047
Provider Enumeration Date 2007-05-21
Last Updated Date 2014-02-20

Provider Mailing Address Detail

Address 2722 Merrilee Dr Ste 230
City Fairfax
State Virginia (VA)
Post Code 220314400
Phone Number 7036984444
Fax Number 7032040116

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 101241454
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
289604ZARD DC --
540846558 MULTIPLAN - PHCS NETWORK ONLY
1093923047 VA --
131 CAREFIRST
328550 KAISER
3810025992 WV --
75759 VA AMERIGROUP

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FAQs about Bonmyong Lee

What is the unique identifier code issued to Bonmyong Lee by the Centers for Medicare & Medicaid Services?

The Bonmyong Lee has been assigned the NPI (National Provider Identifier) 1093923047. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bonmyong Lee's facilities are situated?

The facilities of Bonmyong Lee are physically located at the following address: 2722 Merrilee Dr Ste 230, Fairfax, VA, 220314400.

What is Bonmyong Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bonmyong Lee is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

When was the Bonmyong Lee's 1093923047 issued?

The Bonmyong Lee's 1093923047 was issued on 2007-05-21.

When was the information regarding Bonmyong Lee most recently updated?

The details pertaining to the Bonmyong Lee, including its address, specialty, and other relevant information, were last refreshed on 2014-02-20.

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