# SUNGHOON KIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902833395
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 01078501A | IN | Yes |
| 2086S0120X | Pediatric Surgery Physician | A60075 | CA | — |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A600750 | — | CA |
| 01 | — | 266180957 | MEDICARE | IN |
| 05 | — | 300002154 | — | IN |