Individual
DR. DAVID D KIM
Active
Individual
DR. DAVID D 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
177315-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085413
GHI HMO
—
01
—
000405016001
BLUE SHIELD NENY
—
01
—
000405016002
BLUE SHIELD NENY
—
05
—
01273418
—
NY
01
—
040426006649
FIDELIS
—
01
—
05155
MVP
—
01
—
10001061
CDPHP
—
01
—
110160500
US DEPT OF LABOR
—
01
—
177315-1
TRICARE NORTH REGION
—
01
—
33588K
FIDELIS MEDICARE
—
01
—
9715959
GHI
—
01
—
CAN1773159
NO FAULT
—
01
—
DK094V4110
EMPIRE BLUE CROSS
—
01
—
DK094V4120
EMPIRE BLUE CROSS
—
01
—
E42294
AMERICAN PROGRESSIVE TODA
—
Enumeration date
08/18/2005
Last updated
01/26/2011
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