Provider Demographics
NPI:1255379889
Name:HUH, CHARLES JUN (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:JUN
Last Name:HUH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4001 FAIR RIDGE DR
Mailing Address - Street 2:#206
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2917
Mailing Address - Country:US
Mailing Address - Phone:703-262-0200
Mailing Address - Fax:703-262-0211
Practice Address - Street 1:4001 FAIR RIDGE DR
Practice Address - Street 2:#206
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2917
Practice Address - Country:US
Practice Address - Phone:703-262-0200
Practice Address - Fax:703-262-0211
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232518207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH61604Medicare UPIN
VAG01735G01Medicare PIN