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Individual

TAI KIM

Active
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Individual

TAI KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
172223
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01101495
—
NY
01
—
050049399
RAILROAD MEDICARE
NY
01
—
CB1521
RAILROAD MEDICARE GROUP
NY
Enumeration date
06/27/2005
Last updated
11/03/2009
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