Provider Demographics
NPI:1588054670
Name:HUH, SOK (DR)
Entity type:Individual
Prefix:
First Name:SOK
Middle Name:
Last Name:HUH
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7700 LITTLE RIVER TPKE
Mailing Address - Street 2:STE 100A-1
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2406
Mailing Address - Country:US
Mailing Address - Phone:703-296-7695
Mailing Address - Fax:
Practice Address - Street 1:10412 PEARL ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-3822
Practice Address - Country:US
Practice Address - Phone:703-677-0399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000672171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist