Kim, Sunghoon
Kim, Sunghoon is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Ste 340 , Indianapolis IN 46256-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kim, Sunghoon can be contacted via phone (317) 621-2660.Contact Information
Primary practice address
8040 Clearvista Pkwy Ste 340
Indianapolis IN 46256-4673
Phone: (317) 621-2660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | A60075 | California |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 01078501A | Indiana |
Profile Details
| NPI number | 1902833395 |
|---|---|
| LBN Legal business name | Kim, Sunghoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902833395 | NPPES |
| Indiana | MEDICAID | 300002154 | |
| Indiana | MEDICAID | 00A600750 | |
| Indiana | Other | 266180957 |
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