| Soon Ja Kim Md Pa | |
|
5808 Main St Elkridge MD 21075-5105 | |
| (410) 796-7730 | |
| (410) 379-1537 |
| Full Name | Soon Ja Kim Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5808 Main St, Elkridge, Maryland |
| Authorized Official Name and Position | Soon Ja Kim (PRESIDENT) |
| Authorized Official Contact | 4107967730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soon Ja Kim Md Pa 5808 Main St Elkridge MD 21075-5105 Ph: (410) 796-7730 | Soon Ja Kim Md Pa 5808 Main St Elkridge MD 21075-5105 Ph: (410) 796-7730 |
| NPI Number | 1669796710 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 04/21/2010 |
| Medicare PECOS PAC ID | 0042346280 |
|---|---|
| Medicare Enrollment ID | O20100327000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669796710 | NPI | - | NPPES |
| 794391100 | Medicaid | MD | |
| 010003063 | Other | MD | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Soon Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095643 PECOS PAC ID: 8224164462 Enrollment ID: I20100327000006 |
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