Choong H. Kim, M.D., INC.
Internal Medicine in Ashtabula, OH. Organization (NPI-2).
NPI number1104029198
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104029198
- Entity type
- Organization (NPI-2)
- Legal business name
- Choong H. Kim, M.D., INC.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | OH | Yes |
Practice location
2825 Lake AveAshtabula, OH 44004-4961
Phone 440-998-1200
Mailing address
2825 Lake AveAshtabula, OH 44004-4961
Phone 440-998-1200
Authorized official
Choong H Kim
Owner
4409981200
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