Sophia Hyang Kim, MD
Individual provider Active NPI Internal Medicine Physician · Saint Paul, MN
NPI 1386733129 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386733129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 42442 (MN)
- Practice address
- 514 Saint Peter St
250
Saint Paul, MN 55102-1001 - Phone
- (651) 645-9600
- Fax
- (651) 645-9605
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42442 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Internal Medicine | Internal Medicine | Past | Accepting new patients |
| Medical Associates of Minnesota | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42442 | MN | Yes |
Addresses
Primary practice location
514 Saint Peter St
250
Saint Paul, MN 55102-1001
Mailing address
514 Saint Peter St
250
Saint Paul, MN 55102-1001
Phone (651) 645-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42442 | Other | MN | MEDICAL LICENSE |
Other providers in Saint Paul, MN
- Alexis Kim
- Charles S. Kim
- Hye-Kyong Kim
- Jong Duk Kim
- Peter David Kim
- Yul Lee Kim
- Kim'S Korner LLC
- David Lafond Kimball
- Loreen L Kimble
- Carlton Ross Kimmerle
All providers in Saint Paul, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.