William Jungho Shim in Potomac - Specialist
William Jungho Shim - NPI 1306932959
William Jungho Shim is a Specialist in Potomac, Maryland. William Jungho Shim practices all healthcare services and medical treatments related to Specialist. The NPI Number for William Jungho Shim is 1306932959. The last update date is 2019-11-22.
William Jungho Shim's current location address is 12513 Bridgeton Drive, Potomac, Maryland. You can contact this provider via phone number 2406311036. The mailing address for William Jungho Shim is 12513 Bridgeton Drive, Potomac, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Jungho Shim |
|---|---|
| Address | 12513 Bridgeton Drive, Potomac, Maryland |
| Phone Number | 2406311036 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306932959 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2019-11-22 |
Provider Mailing Address Detail
| Address | 12513 Bridgeton Drive |
|---|---|
| City | Potomac |
| State | Maryland (MD) |
| Post Code | 20854 |
| Phone Number | 2406311036 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | D0053771 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000374300 MD | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William Jungho Shim by the Centers for Medicare & Medicaid Services (CMS)?
The William Jungho Shim has been assigned the NPI (National Provider Identifier) 1306932959. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where William Jungho Shim is physically located?
The William Jungho Shim is physically situated at the following address: 12513 Bridgeton Drive, Potomac, MD, 20854.
What is William Jungho Shim's specialized field of practice, and what is the corresponding taxonomy classification code?
The William Jungho Shim's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the William Jungho Shim's 1306932959 issued?
The William Jungho Shim's 1306932959 was issued on 2006-10-04.
As of what date was the information regarding William Jungho Shim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William Jungho Shim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-22.