Individual
STEPHEN JOOWHAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01066145A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
V0445
TX
2085R0204X
Vascular & Interventional Radiology Physician
01066145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01066145A
IN LICENSE
IN
05
—
20139730
—
IN
Enumeration date
06/27/2008
Last updated
06/21/2024
Update your record
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