Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK K JOHNSON, MD
Active Sole ProprietorDEREK K JOHNSON, MD is a Pediatric Allergy/Immunology healthcare provider located in FAIRFAX, Virginia. NPI 1285622183 is currently active in the NPPES registry. Verify at CMS.
Pediatric Allergy/Immunology · FAIRFAX, VA
Registration Details
- NPI Number
- 1285622183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.860240527231 yrs)
- Last Updated
- Feb 27, 2017
- License
-
MD 065160L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3903A FAIR RIDGE DRFAIRFAX, VA, 220332938Browse VA providers · Browse ZIP 22033
- Phone
- 7036480030
- Fax
- 7036489028
- Primary Specialty
-
Pediatric Allergy/Immunology
2080P0201X
Other Pediatric Allergy/Immunology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. SUPRIYA JAIN | M.D. | 1528300910 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.