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Dr. Kenneth R Mirkin, MD
Gastroenterology Physician in Fairfax, Virginia
NPI 1952372542

Kenneth R Mirkin is a Gastroenterology Physician based in Fairfax, VA and is specialized in Gastroenterology. Kenneth R Mirkin practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Kenneth R Mirkin is 1952372542 and holds a License No. 0101036056 (Virginia).

The current practice location address for Kenneth R Mirkin is 3028 Javier Rd Ste 500, Fairfax, VA and can be reached out via phone at 703-698-8960 and via fax at 571-494-5794. You can also correspond with Kenneth R Mirkin through the mailing address at 3700 JOSEPH SIEWICK DR STE 308, FAIRFAX, VA - 22033-1739 (mailing address contact number: 703-698-8960).

Location: 3028 Javier Rd Ste 500, Fairfax, VA, 22033-1739
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Provider Profile Details
NPI Number
1952372542
Provider Name
Kenneth R Mirkin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3028 Javier Rd Ste 500, Fairfax, VA, 22033-1739
Phone Number
703-698-8960
Fax Number
571-494-5794
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
187598 01 ANTHEM BCBS
79160004 01 CAREFIRST BCBS
231620 01 ANTHEM BCBS
336682 01 ANTHEM BCBS
6096026 05 VA
100010309 01 VA RAILROAD MEDICARE
178732 01 ANTHEM BCBS
341902 01 ANTHEM BCBS
740013 01 ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
3028 Javier Rd Ste 500
City
State
Zip
22031
Phone Number
703-698-8960
Fax Number
571-494-5794
person
Provider Business Mailing Address Details
Address
3028 Javier Rd Ste 500
City
State
Zip
22031
Phone Number
703-698-8960
Fax Number
571-494-5794
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
License No.
0101036056 (Virginia)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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