Kim, Theodore Y
Kim, Theodore Y is an individual health care provider with primary practice located at 7350 Van Dusen Rd Ste 210, Laurel MD 20707-5268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Theodore Y can be contacted via phone (301) 498-5500.Contact Information
Primary practice address
7350 Van Dusen Rd Ste 210
Laurel MD 20707-5268
Phone: (301) 498-5500
Fax: (301) 498-7346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D0033979 | Maryland |
Profile Details
| NPI number | 1275538845 |
|---|---|
| LBN Legal business name | Kim, Theodore Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2016 - about 8 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 | 1275538845 | NPPES |
| Maryland | Other | P00679066 | RAILROAD MEDICARE |
| Maryland | Other | 531224-01 | RAILROAD MEDICARE |
| Maryland | Other | N5630029 | RAILROAD MEDICARE |
| Maryland | Other | A1110003 | RAILROAD MEDICARE |
| Maryland | Other | A1130004 | RAILROAD MEDICARE |
| Maryland | MEDICAID | 275761300 | RAILROAD MEDICARE |
| Maryland | Other | 2516-0002 | RAILROAD MEDICARE |
| Maryland | Other | 10040326 | RAILROAD MEDICARE |
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