BOO KEUN KIM, MD, PA
NPI 1134438575
Internal Medicine - Gastroenterology in Gaithersburg, MD

Active since October 04, 2010
8921 SHADY GROVE COURT, GAITHERSBURG, MD 20877(301) 840-8545(301) 840-8520 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boo Keun Kim, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOO KEUN KIM, MD, PA (NPI 1134438575) is a healthcare organization registered as a gastroenterology in Gaithersburg, Maryland and active in the NPI registry since October 2010. The organization lists Boo Keun Kim, Physician, as its authorized official.

NPPES Registry Identity

NPI1134438575
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBOO KEUN KIM, MD, PA
Location Address8921 SHADY GROVE COURTGaithersburg, MD 20877-1308
Mailing Address8921 Shady Grove CourtGaithersburg, MD 20877-1308 · (301) 840-8545 · Fax (301) 840-8520
Fax(301) 840-8520
Organization SubpartYes
Authorized OfficialBoo Keun KimPhysician · (301) 840-8545
Enumeration DateOctober 4, 2010
NPI 1134438575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D13621
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8921 SHADY GROVE COURT, Gaithersburg, MD 20877

Other Identifiers 3

Medicare PIN409793
Medicare UPINC62613
Medicaid006091700MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boo Keun Kim, MD, PA's NPI number?

The NPI number for Boo Keun Kim, MD, PA is 1134438575. It was assigned to this organization in the NPPES registry on October 4, 2010.

Where is Boo Keun Kim, MD, PA located?

Boo Keun Kim, MD, PA is located at 8921 Shady Grove Court, Gaithersburg, MD 20877. The listed phone number is (301) 840-8545.

What is Boo Keun Kim, MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Boo Keun Kim, MD, PA was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.