Boo Keun Kim, Md, Pa

LBN: Boo Keun Kim, Md, Pa
Boo Keun Kim, Md, Pa is an health care organization with primary practice located at 8921 Shady Grove Court , Gaithersburg MD 20877-1308. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Boo Keun Kim, Md, Pa can be contacted via phone (301) 840-8545, or through Kim, Boo Keun via phone (301) 840-8545.

Contact Information

Primary practice address
8921 Shady Grove Court Gaithersburg MD 20877-1308
Phone: (301) 840-8545
Fax: (301) 840-8520
Website:
Map and Directions
Authorized official contact:
Name: Kim, Boo Keun Doctor of Medicine (MD)
Phone: (301) 840-8545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D13621 Maryland

Profile Details

NPI number 1134438575
LBN Legal business name Boo Keun Kim, Md, Pa
DBA Doing business as
Authorized official Kim, Boo Keun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 4th, 2010
Last updated Oct 4th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134438575 NPPES
Maryland MEDICAID 006091700

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