Heeho Kim, MD is a
Student In An Organized Health Care Education/training Program physician based in Charlottesville, Virginia. Heeho Kim is licensed to practice in Virginia (license number 0116040507) and his current practice location is 1215 Lee St Box 800710, Charlottesville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 982-0629.
NPI number for Heeho Kim is 1194391359 and his current mailing address is 1215 Lee St Box 800710, Charlottesville, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194391359.
Physician's Profile
| Full Name | Heeho Kim |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1215 Lee St Box 800710, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194391359
- Provider Enumeration Date: 05/28/2021
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Heeho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194391359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | MT226069 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116040507 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heeho Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heeho Kim, MD
1215 Lee St Box 800710,
Charlottesville, VA 22908-0816
Ph: (434) 982-0629 | Heeho Kim, MD
1215 Lee St Box 800710,
Charlottesville, VA 22908-0816
Ph: (434) 982-0629 |
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