Active NPIIndividual providerSole proprietor

So Dam Kim, MD

Internal Medicine, Geriatric Medicine in Brookline, Massachusetts

NPI Number1053677260
Practice location
281 Tappan St Apt 3, Brookline, MA 02445-5317
Fax
—
Last updated
January 21, 2024

So Dam Kim is an Internal Medicine, Geriatric Medicine based in Brookline, MA. So Dam Kim practices in Brookline, MA and has the professional credentials of MD. The NPI Number for So Dam Kim is 1053677260 and holds a License No. 283220 (MA). The current practice location address for So Dam Kim is 281 Tappan St Apt 3, Brookline, MA 02445-5317 and can be reached out via phone at 000-000-0000.

Provider Profile Details

NPI Number
1053677260
Provider Name
So Dam Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
281 Tappan St Apt 3, Brookline, MA 02445-5317
Phone Number
000-000-0000
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2012
Last Update Date
January 21, 2024
Certification Date
June 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
281 Tappan St Apt 3
Brookline, MA 02445-5317
Zip
02445-5317
Phone Number
000-000-0000
Brookline, MA 02445Get directions →

Provider Business Mailing Address Details

Address
281 Tappan St Apt 3
Brookline, MA 02445-5317
City
Brookline
State
MA
Zip
02445-5317

License Information

License Number
283220
License State
MA
Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of So Dam Kim, MD?

The NPI number of So Dam Kim, MD is 1053677260. It was assigned on April 2, 2012 and is currently active in the NPPES registry.

What is the specialty of So Dam Kim, MD?

So Dam Kim, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in MA under license number 283220.

Where does So Dam Kim, MD practice?

The practice location is 281 Tappan St Apt 3, Brookline, MA 02445-5317. The office can be reached at 000-000-0000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053677260 directly on the NPPES registry website.

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