Soo Yoon Kim is a Surgery in Philadelphia, Pennsylvania. Soo Yoon Kim practices all healthcare services and medical treatments related to Surgery. The NPI Number for Soo Yoon Kim is 1184613838. The last update date is 2018-05-10.
Soo Yoon Kim's current location address is 3401 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157077725 and fax number 2157073945. The mailing address for Soo Yoon Kim is 3401 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Soo Yoon Kim |
|---|---|
| Address | 3401 N Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157077725 |
| Fax Number | 2157073945 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184613838 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2018-05-10 |
Provider Mailing Address Detail
| Address | 3401 N Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191405103 |
| Phone Number | 2157077725 |
| Fax Number | 2157073945 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD069981L |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19708640001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Soo Yoon Kim by the Centers for Medicare & Medicaid Services?
The Soo Yoon Kim has been issued the NPI (National Provider Identifier) 1184613838 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Soo Yoon Kim's physical address?
The Soo Yoon Kim is physically located at 3401 N Broad St, in the city of Philadelphia, PA, with the postal code 191405103.
What is Soo Yoon Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Soo Yoon Kim is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When did Soo Yoon Kim receive its 1184613838 assignment?
The Soo Yoon Kim was assigned its 1184613838 on 2005-10-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Soo Yoon Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Soo Yoon Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-10.