Chae-Kim, Sang Hyup

Chae-Kim, Sang Hyup is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Chae-Kim, Sang Hyup can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
12222 Merit Dr Ste 600 Dallas TX 75251-3294
Fax: (972) 715-9976
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L8007 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L8007 Texas

Profile Details

NPI number 1124020342
LBN Legal business name Chae-Kim, Sang Hyup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 19th, 2022 - about 2 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 1124020342 NPPES
Texas MEDICAID 176428407
Texas Other 8EH373

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