Individual
DR. BRYAN SUNGKOO KHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8815 BALTIMORE NATIONAL PIKE, SUITE B, ELLICOTT CITY, MD 21043-4111
(410) 480-1800
(410) 480-2899
Mailing address
8815 BALTIMORE NATIONAL PIKE, SUITE B, ELLICOTT CITY, MD 21043-4111
(410) 480-1800
(410) 480-2899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D50978
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019440900
—
MD
01
—
04720930647
MEDICAL EDUCATION NO.
—
Enumeration date
07/26/2006
Last updated
10/14/2014
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