Kim, In Tae

Kim, In Tae is an sole proprietor health care provider with primary practice located at 655 Watkins Mill Rd , Gaithersburg MD 20879-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, In Tae can be contacted via phone (240) 632-4000.

Contact Information

Primary practice address
655 Watkins Mill Rd Gaithersburg MD 20879-3301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D85107 Maryland

Profile Details

NPI number 1619296423
LBN Legal business name Kim, In Tae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2010
Last updated Jun 27th, 2021 - about 4 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.

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