| Boo Keun Kim, Md, Pa | |
|
8921 Shady Grove Court Gaithersburg MD 20877-1308 | |
| (301) 840-8545 | |
| (301) 840-8520 |
| Full Name | Boo Keun Kim, Md, Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8921 Shady Grove Court, Gaithersburg, Maryland |
| Authorized Official Name and Position | Boo Keun Kim (PHYSICIAN) |
| Authorized Official Contact | 3018408545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boo Keun Kim, Md, Pa 8921 Shady Grove Court Gaithersburg MD 20877-1308 Ph: (301) 840-8545 | Boo Keun Kim, Md, Pa 8921 Shady Grove Court Gaithersburg MD 20877-1308 Ph: (301) 840-8545 |
| NPI Number | 1134438575 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134438575 | NPI | - | NPPES |
| 006091700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | D13621 (Maryland) | Primary |
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