DR. GWANG OCH KIM MD NPI 1992706543

NPI Information

NPI: 1992706543
Provider Name: DR. GWANG OCH KIM, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
2819 HAYES AVE
SUITE #1
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-8403
Get Directions

DR. Gwang Och Kim, MD is a nephrology internal medicine in Sandusky, OH. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Gwang Och Kim, MD NPI is 1992706543. 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:

2819 HAYES AVE
SUITE #1
SANDUSKY, OH
ZIP 44870-391
Phone: (419) 627-8403
Fax: (419) 627-1962

The enumeration date for this NPI number is 8/4/2005 and was last updated on 9/12/2012.

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	207RN0300X	Internal Medicine	Nephrology	35 040705	OHIO	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	000000129590	OTHER	OHIO	ANTHEM BCBS
2	0364690	MEDICAID	OHIO
3	390007082	OTHER	OHIO	RAILROAD MEDICARE
4	KI0441651	MEDICARE PIN	OHIO
5	A77389	MEDICARE UPIN

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

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