Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SU GYM KIM, M.D.
ActiveSU GYM KIM, M.D. is a Interventional Vascular Surgery healthcare provider located in PROVIDENCE, Rhode Island. NPI 1235418369 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · PROVIDENCE, RI
Registration Details
- NPI Number
- 1235418369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2011 (15.029701361875 yrs)
- Last Updated
- Oct 26, 2021
- Licenses
-
46722 (KY)MD15614 (RI)
Practice Information
- Address
-
593 EDDY STGEORGE BUILDING, FIRST FLOORPROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 4014443777
- Fax
- 4014447249
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.