Taeck Kim, MD is a
Student In An Organized Health Care Education/training Program physician based in Houston, Texas. Taeck Kim is licensed to practice in * (Not Available) (license number ) and his current practice location is 1 Baylor Plz, Houston, Texas. He can be reached at his office (for appointments etc.) via phone at
(713) 798-6295.
NPI number for Taeck Kim is 1780368357 and his current mailing address is 400 S Greenwood Ave, Easton, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780368357.
Physician's Profile
| Full Name | Taeck Kim |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1 Baylor Plz, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780368357
- Provider Enumeration Date: 06/13/2023
- Last Update Date: 05/23/2024
Medical Identifiers
Medical identifiers for Taeck Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780368357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MT229467 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Taeck 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 |
|---|
Taeck Kim, MD
400 S Greenwood Ave,
Easton, PA 18045-3776
Ph: () - | Taeck Kim, MD
1 Baylor Plz,
Houston, TX 77030-3411
Ph: (713) 798-6295 |
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