Provider Demographics
NPI:1083678064
Name:YOO, JINNY K (MD)
Entity Type:Individual
Prefix:DR
First Name:JINNY
Middle Name:K
Last Name:YOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 EAST ST SE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4800
Mailing Address - Country:US
Mailing Address - Phone:703-938-5555
Mailing Address - Fax:703-319-8580
Practice Address - Street 1:100 EAST ST SE
Practice Address - Street 2:SUITE 301
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4800
Practice Address - Country:US
Practice Address - Phone:703-938-5555
Practice Address - Fax:703-319-8580
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058218208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics