Kazuko K Price MD LTD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101015073 Issued in VA

Legal business name

KAZUKO K PRICE MD LTD

Practice address

4701 Kenmore Avenue
Suite 118
Alexandria, VA 22304-1248

Phone

(703) 751-3344

Fax

(703) 751-3345

NPI assigned

Nov 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kazuko Kukita Price, MD

Title

President

Phone

(703) 751-3344

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699841148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 KENMORE AVENUE",
            "address_2": "SUITE 118",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041248",
            "telephone_number": "703-751-3344",
            "fax_number": "703-751-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 KENMORE AVENUE",
            "address_2": "SUITE 118",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041248",
            "telephone_number": "703-751-3344",
            "fax_number": "703-751-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZUKO K PRICE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "KAZUKO",
        "authorized_official_middle_name": "KUKITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-751-3344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101015073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST DC",
            "identifier": "2908",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INC",
            "identifier": "043401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.