Teruaki Kodama, M.d., L.l.c.

NPI #1720285893 in Fairfax, Virginia

Provider Information

NPI Number: 1720285893
Entity Type: Organization
Organization Name: Teruaki Kodama, M.d., L.l.c.
Primary Specialty: Surgery
Enumeration Date: Jun 30, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 8316 ARLINGTON BLVD
Address 2: SUITE 410
City: Fairfax
State: Virginia
ZIP Code: 22031-5207
Phone: (703) 573-6985

Authorized Official

Name: DR. TERUAKI KODAMA, M.D.
Title: PRESIDENT
Phone: (703) 573-6985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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