Provider Demographics
NPI:1144377896
Name:LIN, FRANK I-KAI (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:I-KAI
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 EXECUTIVE BLVD
Mailing Address - Street 2:RM EPN 6066
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4907
Mailing Address - Country:US
Mailing Address - Phone:301-451-2669
Mailing Address - Fax:
Practice Address - Street 1:6130 EXECUTIVE BLVD
Practice Address - Street 2:RM EPN 6066
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4907
Practice Address - Country:US
Practice Address - Phone:301-451-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95684207R00000X
DCMD039600207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine