Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD039632 | DC |
N | 111NI0900X | Internist | MD039632 | DC |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101255969 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101255969 | VA |
Y | 207RC0000X | Internist - Cardiovascular Disease | R3545 | TX |
NPI | 1841426194 |
---|---|
Provider Name | Dr. Ju Hyun Kim |
First Address | Houston, TX 77030-2719 |
Second Address | Houston, TX 77030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2009 |
Last Update Date | 29/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
376043101 | (05) | TX |