Provider Demographics
NPI:1659539195
Name:JUNN, HWANG HYUN (MD)
Entity Type:Individual
Prefix:
First Name:HWANG
Middle Name:HYUN
Last Name:JUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HWANG
Other - Middle Name:HYUN
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4216 EVERGREEN LN
Mailing Address - Street 2:STE # 111
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3243
Mailing Address - Country:US
Mailing Address - Phone:703-468-4462
Mailing Address - Fax:703-256-4680
Practice Address - Street 1:4216 EVERGREEN LN
Practice Address - Street 2:STE # 111
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3243
Practice Address - Country:US
Practice Address - Phone:703-468-4462
Practice Address - Fax:703-256-4680
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 103692208D00000X
VA0101242585208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice