DR. THOMAS KWANG SUNG KIM M.D. NPI 1790034395

NPI Information

NPI: 1790034395
Provider Name: DR. THOMAS KWANG SUNG KIM, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6062 BUFORD HWY
SUITE 114
NORCROSS, GA
ZIP 30071
Phone: (770) 557-0203
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DR. Thomas Kwang Sung Kim, M.D. is a specialist in Norcross, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Thomas Kwang Sung Kim, M.D. NPI is 1790034395. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6062 BUFORD HWY
SUITE 114
NORCROSS, GA
ZIP 30071-424
Phone: (770) 557-0203
Fax: (678) 395-5453

The enumeration date for this NPI number is 8/29/2012 and was last updated on 5/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		140875	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790034395	MEDICARE PIN	GEORGIA
2	140875	OTHER	NEW YORK	NEW YORK STATE MEDICAL LISCENSE ID NUMBER
3	1790034395	MEDICARE UPIN	GEORGIA
4	1790034395	MEDICARE NSC	GEORGIA
5	1790034395	MEDICAID	GEORGIA
6	1790034395	MEDICARE OSCAR/CERTIFICATION	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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