Kim, David D
Kim, David D is an individual health care provider with primary practice located at 11055 Little Patuxent Parkway Suite 205, Columbia MD 21044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kim, David D can be contacted via phone (410) 740-0789.Contact Information
Primary practice address
11055 Little Patuxent Parkway Suite 205
Columbia MD 21044
Phone: (410) 740-0789
Fax: (410) 740-7024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 237369 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D66910 | Maryland |
Profile Details
| NPI number | 1801803101 |
|---|---|
| LBN Legal business name | Kim, David D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801803101 | NPPES |
| Maryland | MEDICAID | 414745600 |
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