Individual
TAEYONG SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16045 1ST AVE S FL 2, BURIEN, WA 98148-1401
(206) 243-3049
(206) 965-4278
Mailing address
16045 1ST AVE S FL 2, BURIEN, WA 98148-1401
(206) 243-3049
(206) 965-4278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084344A
IN
207RI0200X
Infectious Disease Physician
Primary
01084344A
IN
207RI0200X
Infectious Disease Physician
17903
NV
207RI0200X
Infectious Disease Physician
Primary
MD70067916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266430993
MEDICARE
IN
05
—
300042363
—
IN
Enumeration date
06/18/2013
Last updated
03/02/2026
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