Roman M Kishi
Pediatrician
6303 Little River Tpke # 300
Alexandria
, Virginia 22312
Roman M Kishi
Pediatrician
6303 Little River Tpke # 300
Alexandria
, Virginia 22312
(703) 426-4559
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Roman M Kishi
- 5003 King David Blvd
- Annandale, VA
- Zip : 22003
- Phone : (703) 426-4559
Second Address
- Roman M Kishi
- 6303 Little River Tpke # 300
- Alexandria, VA
- Zip : 22312
- Fax : (703) 914-5494
- Phone : (703) 914-8989
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0101055982 | VA |
National Provider Identifier
| NPI | 1003872441 |
|---|---|
| Provider Name | Roman M Kishi |
| First Address | Annandale, VA 22003 |
| Second Address | Alexandria, VA 22312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.