Hijoo Kim MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301035503 Issued in MI

Legal business name

HIJOO KIM MD PLLC

Practice address

22001 Kelly Rd
Eastpointe, MI 48021

Phone

(586) 777-1120

Fax

(586) 777-9690

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hijoo Kim, MD

Title

Owner

Phone

(248) 646-3343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1750618633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22001 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-777-1120",
            "fax_number": "586-777-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22001 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "48021",
            "telephone_number": "586-777-1120",
            "fax_number": "586-777-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIJOO KIM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HIJOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-646-3343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301035503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.