| In Tae Kim, | |
|
655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | |
| (240) 632-4000 | |
| Not Available |
| Full Name | In Tae Kim |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 655 Watkins Mill Rd, Gaithersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619296423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D85107 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| In Tae Kim, 11328 Liberty St, Fulton, MD 20759-2509 Ph: () - | In Tae Kim, 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 Ph: (240) 632-4000 |
Zahra Lynette Cook Dawson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 650-723-6661 | |
Angelette Brenda Covin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 655 Watkins Mill Rd, Kaiser Permanente Gaithersburg Medical Center, Gaithersburg, MD 20879 Phone: 240-632-4000 | |
Mohammad Ali Shah, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Kaiser Permanente Gaithersburg Medical Center, 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 202-875-4614 | |
Dr. Rickey Tae-hwan Kim, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 844-549-0597 | |
Dr. Vivian Kim Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 Watkins Mill Rd, Kaiser Permanente Gaithersburg Medical Center, Gaithersburg, MD 20879 Phone: 240-632-4000 | |
Dr. Allen Mosenkis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 Watkins Mill Rd, Gaithersburg, MD 20879 Phone: 240-632-4000 |