Khim, Bryan Sungkoo
Khim, Bryan Sungkoo is an sole proprietor health care provider with primary practice located at 8815 Baltimore National Pike Suite B, Ellicott City MD 21043-4111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khim, Bryan Sungkoo can be contacted via phone (410) 480-1800.Contact Information
Primary practice address
8815 Baltimore National Pike Suite B
Ellicott City MD 21043-4111
Phone: (410) 480-1800
Fax: (410) 480-2899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D50978 | Maryland |
Profile Details
| NPI number | 1598788762 |
|---|---|
| LBN Legal business name | Khim, Bryan Sungkoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Oct 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598788762 | NPPES |
| Maryland | MEDICAID | 019440900 | |
| Maryland | Other | 04720930647 |
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