Provider Demographics
NPI:1295715894
Name:SUH, JAMES J (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:SUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2826 OLD LEE HWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4348
Mailing Address - Country:US
Mailing Address - Phone:703-916-0005
Mailing Address - Fax:703-916-1275
Practice Address - Street 1:2826 OLD LEE HWY
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4348
Practice Address - Country:US
Practice Address - Phone:703-916-0005
Practice Address - Fax:703-916-1275
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F43062Medicare UPIN
G02374J01Medicare PIN