Taegyun Kim, M.D.
Internal Medicine in Flushing, NY. Individual provider (NPI-1).
NPI number1073772638
StatusActive
Last updated in NPPESJul 30, 2012
Details
- NPI
- 1073772638
- Entity type
- Individual (NPI-1)
- Name
- Taegyun Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2008
- Last updated
- Jul 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 263541 | NY | Yes |
| 208M00000X | Hospitalist | 235558 | MA |
Practice location
141-47 Northern Blvd.Suitee #2r
Flushing, NY 11354
Phone 718-461-2701
Mailing address
150-38 28th AveFlushing, NY 20748
Phone 301-318-0507
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