Kim, Jongho

Kim, Jongho is an individual health care provider with primary practice located at 630 W 168Th St # Mc28 , New York NY 10032-3725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Kim, Jongho can be contacted via phone (917) 882-8208.

Contact Information

Primary practice address
630 W 168Th St # Mc28 New York NY 10032-3725
Phone: (917) 882-8208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X C1-0026366 Delaware
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 290542 New York

Profile Details

NPI number 1760640478
LBN Legal business name Kim, Jongho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Aug 24th, 2023 - 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 1760640478 NPPES
New York Other 860279748 UNITEDHEALTHCARE

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