Kim, Sang Hoon

Kim, Sang Hoon is an individual health care provider with primary practice located at 9002 N Meridian St Suite 102, Indianapolis IN 46260-5381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Sang Hoon can be contacted via phone (317) 573-4410.

Contact Information

Primary practice address
9002 N Meridian St Suite 102 Indianapolis IN 46260-5381
Phone: (317) 573-4410
Fax: (317) 573-4412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01040301 Indiana

Profile Details

NPI number 1033119417
LBN Legal business name Kim, Sang Hoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 24th, 2010 - about 15 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 1033119417 NPPES
Indiana MEDICAID 100196490C

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