Dohee Kim, MD, LLC

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

Legal business name

DOHEE KIM, MD, LLC

Practice address

2711 Still Creek Dr
Zionsville, IN 46077-1193

Phone

(213) 675-8916

Fax

(877) 651-2297

NPI assigned

Feb 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

DO Hee Kim, MD

Title

Sole Proprietor

Phone

(213) 675-8916

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1255638441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 STILL CREEK DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771193",
            "telephone_number": "213-675-8916",
            "fax_number": "877-651-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 STILL CREEK DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771193",
            "telephone_number": "213-675-8916",
            "fax_number": "877-651-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHEE KIM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DO HEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "213-675-8916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201254480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nuclear Medicine Physician in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Nuclear Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.