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Individual
SANG TAEK KIM
Active
Individual
SANG TAEK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
047978
CT
207RR0500X
Rheumatology Physician
Q6526
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/24/2009
Last updated
05/10/2023
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