Changhee Kim Md Phd Plc

LBN: Changhee Kim Md Phd Plc
Changhee Kim Md Phd Plc is an health care organization with primary practice located at 38815 Dequindre Rd Suite 103, Troy MI 48083-6810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Changhee Kim Md Phd Plc can be contacted via phone (248) 740-7771, or through Kim, Changhee via phone (248) 740-7771.

Contact Information

Primary practice address
38815 Dequindre Rd Suite 103 Troy MI 48083-6810
Phone: (248) 740-7771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Changhee Doctor of Medicine (MD)
Phone: (248) 740-7771

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301059643 Michigan

Profile Details

NPI number 1790963171
LBN Legal business name Changhee Kim Md Phd Plc
DBA Doing business as
Authorized official Kim, Changhee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Feb 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790963171 NPPES
Michigan MEDICAID 4562401

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