Bobby Se, MD
Internal Medicine in Falls Church, VA. Individual provider (NPI-1).
NPI number1114657152
StatusActive
Last updated in NPPESAug 24, 2025
Details
- NPI
- 1114657152
- Entity type
- Individual (NPI-1)
- Name
- Bobby Se
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2022
- Certification date
- Aug 24, 2025
- Last updated
- Aug 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35104 | MS | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | 35104 | MS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0116036429 | VA |
Practice location
3300 Gallows RdFalls Church, VA 22042-3307
Phone 703-776-3582
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 019-845-6156
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