Kim, Sung Bai

Kim, Sung Bai is an individual health care provider with primary practice located at 2027 Pulaski Hwy 205, Havre De Grace MD 21078-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kim, Sung Bai can be contacted via phone (443) 843-6363.

Contact Information

Primary practice address
2027 Pulaski Hwy 205 Havre De Grace MD 21078-2143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0061707 Maryland

Profile Details

NPI number 1770559353
LBN Legal business name Kim, Sung Bai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 12th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770559353 NPPES
Maryland MEDICAID 405670100

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