Kim, Sang W

Kim, Sang W is an individual health care provider with primary practice located at 3577 W Thirteen Mile Rd #301, Royal Oak MI 48073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kim, Sang W can be contacted via phone (248) 551-0669.

Contact Information

Primary practice address
3577 W Thirteen Mile Rd #301 Royal Oak MI 48073
Fax: (248) 551-0058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X SK091209 Michigan

Profile Details

NPI number 1538133723
LBN Legal business name Kim, Sang W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 22nd, 2020 - about 4 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 1538133723 NPPES
Michigan MEDICAID 1538133723

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