NPI 1366820409 · live from the CMS NPI Registry
Jeffrey Young Kim, M.D.
Internal Medicine, Gastroenterology in Rockville, MD. National Provider Identifier 1366820409, active.
NPI record
| NPI | 1366820409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 15001 Shady Grove Rd Ste 300, Rockville, MD 20850 |
| Practice phone | 301-340-3252 |
| Mailing address | 10770 Columbia Pike Ste 400, Silver Spring, MD 20901 |
| Enumerated | May 8, 2015 |
| Last updated | August 31, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD046374 (DC) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | D0091510 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.