Kim, Sung Deuk
Kim, Sung Deuk is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6192. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kim, Sung Deuk can be contacted via phone (580) 379-5000.Contact Information
Primary practice address
1200 E Pecan St
Altus OK 73521-6192
Phone: (580) 379-5000
Fax: (580) 379-5999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41286 | Oklahoma |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 41286 | Oklahoma |
Profile Details
NPI number | 1003434101 |
---|---|
LBN Legal business name | Kim, Sung Deuk |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2020 |
Last updated | Nov 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003434101 | NPPES |
Oklahoma | MEDICAID | 201183700A |
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