DR. PETER TAE WAN KIM MD NPI 1437315264

NPI Information

NPI: 1437315264
Provider Name: DR. PETER TAE WAN KIM, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Address:
3410 WORTH ST STE 950
DALLAS, TX
ZIP 75246
Phone: (214) 820-2050
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DR. Peter Tae Wan Kim, MD is a transplant surgery in Dallas, TX. The provider is definition to come. DR. Peter Tae Wan Kim, MD NPI is 1437315264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3410 WORTH ST STE 950
DALLAS, TX
ZIP 75246-064
Phone: (214) 820-2050

The enumeration date for this NPI number is 7/31/2008 and was last updated on 11/20/2012.

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	204F00000X	Transplant Surgery		N1367	TEXAS	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
1	TXB161348	MEDICARE PIN	TEXAS
2	304424001	MEDICAID	TEXAS
3	TXB161349	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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