Kyung Whan Min, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

16352 Issued in OK

Practice address

3000 United Founders Blvd
Suite 234
Oklahoma City, OK 73112-3958

Phone

(405) 842-2061

Fax

(405) 842-3146

NPI assigned

Jan 16, 2006

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Pathology Services, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Oklahoma City, OK
  • NPI 1528030897
  NPD
• Diagnostic Pathology Services, Inc.

  • Clinical Medical Laboratory
  • Oklahoma City, OK
  • NPI 1851363253
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1306825526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD",
            "address_2": "SUITE 234",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123958",
            "telephone_number": "405-842-2061",
            "fax_number": "405-842-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "KYUNG",
        "middle_name": "WHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "16352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100822280B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvis Mimba
• Catherine Mims
• Jeffrey L Mims Jr., B.A.
• Mark Matthew Mims, MD
• Roberta Mims, NORTHCARE CREDENTIAL
• Brian Behnum Minavi, D.D.S.
• Mind the Gap Neuropsychology Services PLLC
• Mind the Gap Therapy, PLLC
• Mind Works Consulting and Psychological Services
• Mind Your Health, Inc

• Anatomic Pathology & Clinical Pathology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.