| Soo Hyun Kim, MD | |
| 
					1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300  | |
| (713) 620-4000 | |
| (713) 458-4229 | 
| Full Name | Soo Hyun Kim | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 1500 Citywest Blvd, Houston, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821225400 | NPI | - | NPPES | 
| P01466079 | Other | TX | RR MEDICARE | 
| 324707401 | Medicaid | TX | |
| 8DY624 | Other | TX | BLUE CROSS BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | P5398 (Texas) | Primary | 
| Entity Name | Champion Anesthesia Consultants Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649676024 PECOS PAC ID: 7113231358 Enrollment ID: O20150803000277  | 
| Entity Name | Dynamic Anesthesia Providers, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346752326 PECOS PAC ID: 0547529596 Enrollment ID: O20180119000344  | 
| Entity Name | Do Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942806351 PECOS PAC ID: 5395150361 Enrollment ID: O20210225000896  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Soo Hyun Kim, MD Po Box 650865, Dallas, TX 75265-0865 Ph: (972) 233-1999  | Soo Hyun Kim, MD 1500 Citywest Blvd, Ste. 300, Houston, TX 77042-2300 Ph: (713) 620-4000  | 
Dr. Nicholas James Defilippis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2411 Fountain View Dr, Houston, TX 77057 Phone: 713-620-4000  | |
Dr. Archana Vargheese Raghavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229  | |
Loc Tien Nguyen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8614 Majesticbrook Dr, Houston, TX 77095 Phone: 832-746-6608  | |
Dr. Tanner B Baker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2537 S Gessner Rd, Suite 200, Houston, TX 77063 Phone: 713-559-6929  | |
Hyung J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1635 North Loop W, Houston, TX 77008 Phone: 713-540-6980  | |
Dr. Salim Khan Durrani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11777 Katy Fwy Ste 260, Houston, TX 77079 Phone: 713-973-7246 Fax: 832-553-1337  | |
January Y Tsai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161  |