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NPI Code Detail

MEDICARE: NAUM PLLC

MEDICARE: NAUM PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1487441887
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAUM PLLC
Provider Business Mailing Address
First Line : 12600 FAIR LAKES CIR STE 100
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4904
Country : US
Telephone Number : 703-994-4511
Fax Number : 703-994-4787
Provider Business Practice Location Address
First Line : 12600 FAIR LAKES CIR
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-4904
Country : US
Telephone Number : 703-994-4511
Fax Number : 703-994-4787
Authorized Official
Title or Position : OWNER
Name : MYOUNG KWAK
Credential : MD
Telephone Number : 703-994-4511
Provider Enumeration Date : 04/21/2025
Last Update Date : 03/10/2026

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Directions to “NAUM PLLC ” Practice Location

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