Kim, Benjamin
Kim, Benjamin is an individual health care provider with primary practice located at 4131 N Central Expy Ste 435, Dallas TX 75204-2102. 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. Kim, Benjamin can be contacted via phone (214) 826-6500.Contact Information
Primary practice address
4131 N Central Expy Ste 435
Dallas TX 75204-2102
Phone: (214) 826-6500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | L3719 | Texas |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L3719 | Texas |
Profile Details
NPI number | 1174527964 |
---|---|
LBN Legal business name | Kim, Benjamin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Sep 24th, 2007 - about 17 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 | 1174527964 | NPPES |
Texas | MEDICAID | 157395801 |
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