Kim, Sunghoon

Kim, Sunghoon is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Ste 340 , Indianapolis IN 46256-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kim, Sunghoon can be contacted via phone (317) 621-2660.

Contact Information

Primary practice address
8040 Clearvista Pkwy Ste 340 Indianapolis IN 46256-4673
Phone: (317) 621-2660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A60075 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01078501A Indiana

Profile Details

NPI number 1902833395
LBN Legal business name Kim, Sunghoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 21st, 2022 - 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 1902833395 NPPES
Indiana MEDICAID 300002154
Indiana MEDICAID 00A600750
Indiana Other 266180957

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