Kim, Tae Ho
Kim, Tae Ho is an sole proprietor health care provider with primary practice located at 115 Washington Pl Unit B, New York NY 10014-6803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Kim, Tae Ho can be contacted via phone (212) 706-8738.Contact Information
Primary practice address
115 Washington Pl Unit B
New York NY 10014-6803
Phone: (212) 706-8738
Fax: (212) 706-8743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 2384301 | New York |
Profile Details
| NPI number | 1164488508 |
|---|---|
| LBN Legal business name | Kim, Tae Ho |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 3rd, 2014 - about 11 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 | 1164488508 | NPPES |
| New York | MEDICAID | 02729642 |
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