| Choong H. Kim, M.d., Inc. | |
|
2825 Lake Ave Ashtabula OH 44004-4961 | |
| (440) 998-1200 | |
| Not Available |
| Full Name | Choong H. Kim, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2825 Lake Ave, Ashtabula, Ohio |
| Authorized Official Name and Position | Choong H Kim (OWNER) |
| Authorized Official Contact | 4409981200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choong H. Kim, M.d., Inc. 2825 Lake Ave Ashtabula OH 44004-4961 Ph: (440) 998-1200 | Choong H. Kim, M.d., Inc. 2825 Lake Ave Ashtabula OH 44004-4961 Ph: (440) 998-1200 |
| NPI Number | 1104029198 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104029198 | NPI | - | NPPES |
| 0418711 | Medicaid | OH | |
| 1508877218 | Other | OH | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
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