Kim, Isaac Y

Kim, Isaac Y is an individual health care provider with primary practice located at 800 Howard Ave Fl 1 , New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Kim, Isaac Y can be contacted via phone (203) 785-2815.

Contact Information

Primary practice address
800 Howard Ave Fl 1 New Haven CT 06519-1369
Phone: (203) 785-2815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 25MA07917300 New Jersey
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 69482 Connecticut

Profile Details

NPI number 1235217985
LBN Legal business name Kim, Isaac Y
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235217985 NPPES
New Jersey MEDICAID 0072648

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