Provider Demographics
NPI:1033185731
Name:HWANG, INZUNE KIM (MD)
Entity type:Individual
Prefix:DR
First Name:INZUNE
Middle Name:KIM
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9300 PRETORIA PL
Mailing Address - Street 2:APT 25
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20189-9300
Mailing Address - Country:US
Mailing Address - Phone:979-429-3299
Mailing Address - Fax:531-200-7464
Practice Address - Street 1:9300 PRETORIA PL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20521-9300
Practice Address - Country:US
Practice Address - Phone:979-429-3299
Practice Address - Fax:531-200-7464
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ47722083P0500X
WI38853020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1033185731Medicaid
WA0201589OtherDEPT LABOR AND INDUSTRY
WA7100209Medicaid