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Individual
SUNGHOON KIM
Active
Individual
SUNGHOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
01078501A
IN
2086S0120X
Pediatric Surgery Physician
A60075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A600750
—
CA
01
—
266180957
MEDICARE
IN
05
—
300002154
—
IN
Enumeration date
06/28/2006
Last updated
07/21/2022
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