Provider Demographics
NPI:1790853208
Name:MIN, BUMJIN STEVE (MD)
Entity type:Individual
Prefix:
First Name:BUMJIN
Middle Name:STEVE
Last Name:MIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:23 SADDLEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3861
Mailing Address - Country:US
Mailing Address - Phone:301-717-7859
Mailing Address - Fax:301-319-2420
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5318
Practice Address - Country:US
Practice Address - Phone:301-295-4959
Practice Address - Fax:301-319-2420
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101233794208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics