Dr. Chang Soo Kim, MD
Plastic Surgery in Stamford, Connecticut
1891719860- Practice location
- 999 Summer St, Stamford, CT 06905-5546
- Phone
- 203-920-1444
- Fax
- 866-920-5178
- Last updated
- March 1, 2017
Chang Soo Kim is a Plastic Surgery based in Stamford, CT. Chang Soo Kim practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Chang Soo Kim is 1891719860 and holds a License No. 25MA07582400 (NJ). The current practice location address for Chang Soo Kim is 999 Summer St, Stamford, CT 06905-5546 and can be reached out via phone at 203-920-1444 and via fax at 866-920-5178.
Provider Profile Details
- NPI Number
- 1891719860
- Provider Name
- Chang Soo Kim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 999 Summer St, Stamford, CT 06905-5546
- Phone Number
- 203-920-1444
- Fax Number
- 866-920-5178
- Primary Taxonomy
- Plastic Surgery · 208200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 26, 2006
- Last Update Date
- March 1, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 999 Summer St
Stamford, CT 06905-5546 - City
- Stamford
- State
- Connecticut
- Zip
- 06905-5546
- Phone Number
- 203-920-1444
- Fax Number
- 866-920-5178
Provider Business Mailing Address Details
- Address
- 999 Summer St
Stamford, CT 06905-5546 - City
- Stamford
- State
- CT
- Zip
- 06905-5546
- Phone Number
- 203-920-1444
- Fax Number
- 866-920-5178
License Information
- License Number (1)
- 25MA07582400
- License State (1)
- NJ
- Taxonomy (1)
- Plastic Surgery · 208200000X
- License Number (2)
- 048229
- License State (2)
- CT
- Taxonomy (2)
- Plastic Surgery · 208200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Chang Soo Kim, MD?
The NPI number of Dr. Chang Soo Kim, MD is 1891719860. It was assigned on July 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Chang Soo Kim, MD?
Dr. Chang Soo Kim, MD is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in NJ under license number 25MA07582400.
Where does Dr. Chang Soo Kim, MD practice?
The practice location is 999 Summer St, Stamford, CT 06905-5546. The office can be reached at 203-920-1444 (phone) or 866-920-5178 (fax).
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 1891719860 directly on the NPPES registry website.