Individual
MYUNG HEE NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(800) 655-2656
(412) 822-7411
Mailing address
PO BOX 79599, BALTIMORE, MD 21279-0599
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0035106
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297991800
—
MD
01
—
53298205
CAREFIRST BCBS
MD
01
—
74960002
CAREFRIST BCBS
DC
Enumeration date
07/15/2006
Last updated
11/13/2008
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