Soon Ja Kim Md Pa

LBN: Soon Ja Kim Md Pa
Soon Ja Kim Md Pa is an health care organization with primary practice located at 5808 Main St , Elkridge MD 21075-5105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Soon Ja Kim Md Pa can be contacted via phone (410) 796-7730, or through Kim, Soon Ja via phone (410) 796-7730.

Contact Information

Primary practice address
5808 Main St Elkridge MD 21075-5105
Phone: (410) 796-7730
Fax: (410) 379-1537
Website:
Map and Directions
Authorized official contact:
Name: Kim, Soon Ja Doctor of Medicine (MD)
Phone: (410) 796-7730

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1669796710
LBN Legal business name Soon Ja Kim Md Pa
DBA Doing business as
Authorized official Kim, Soon Ja Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2010
Last updated Apr 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669796710 NPPES
Maryland MEDICAID 794391100
Maryland Other 010003063

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