Kim, Derek Taeyoung

Kim, Derek Taeyoung is an individual health care provider with primary practice located at 1500 Forest Glen Rd , Silver Spring MD 20910-1460. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kim, Derek Taeyoung can be contacted via phone (301) 754-7000.

Contact Information

Primary practice address
1500 Forest Glen Rd Silver Spring MD 20910-1460
Phone: (301) 754-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0100497 Maryland
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D0100497 Maryland

Profile Details

NPI number 1225533045
LBN Legal business name Kim, Derek Taeyoung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2018
Last updated Jul 11th, 2024 - about 5 months 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.

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