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Contact Information

SANG TAEK KIM, MD
330 ORCHARD ST
NEW HAVEN, CT06511-4417
 Phone: 203-680-7050
 Fax: 203-785-7053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SANG TAEK KIM · (Male)

NPI # 1174753172
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2009
Last updated 05/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 047978
  • TX License # Q6526
  • TX Medicaid 354544401
  • TX Other 354544402 RHEUMATOLOGY
Hospital affiliation(s)
  • UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER,THE - (Acute Care)
    1515 HOLCOMBE BLVD
    HOUSTON, TX 77030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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