Kim, Daniel Ikjae
Kim, Daniel Ikjae is an sole proprietor health care provider with primary practice located at 5908 Hubbard Dr , Rockville MD 20852-4823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Daniel Ikjae can be contacted via phone (301) 230-9893.Contact Information
Primary practice address
5908 Hubbard Dr
Rockville MD 20852-4823
Phone: (301) 230-9893
Fax: (301) 230-0161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D40078 | Maryland |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | D40078 | Maryland |
Profile Details
| NPI number | 1912009747 |
|---|---|
| LBN Legal business name | Kim, Daniel Ikjae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | May 28th, 2009 - about 15 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 | 1912009747 | NPPES |
| Maryland | MEDICAID | 203341100 |
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