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Individual

CHARLES MIN KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2034
(480) 543-2647
Mailing address
1900 N HIGLEY ROAD, ATTN: HOSPITALISTS, GILBERT, AZ 85234
(480) 543-2034
(480) 543-2647

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32985
AZ
208M00000X
Hospitalist Physician
Primary
32985
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
924531-01
AZ
Enumeration date
07/25/2006
Last updated
03/07/2023
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