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Individual

DR. DANIEL IKJAE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5908 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 230-9893
(301) 230-0161
Mailing address
5908 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 230-9893
(301) 230-0161

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D40078
MD
207RX0202X
Medical Oncology Physician
D40078
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203341100
MD
Enumeration date
09/02/2006
Last updated
05/28/2009
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