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YONG SOO SO, M.D., P.C.
NPI 1356405294
General Practice in Eastpointe, MI

Active since December 21, 2006
22001 KELLY RD, EASTPOINTE, MI 48021(586) 778-0209(586) 778-0202 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Yong Soo So, M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YONG SOO SO, M.D., P.C. (NPI 1356405294) is a healthcare organization registered as a general practice in Eastpointe, Michigan and active in the NPI registry since December 2006. The organization lists Yong Soo So, President, as its authorized official.

NPPES Registry Identity

NPI1356405294
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameYONG SOO SO, M.D., P.C.
Location Address22001 KELLY RDEastpointe, MI 48021-2708
Mailing Address22001 Kelly RdEastpointe, MI 48021-2708 · (586) 778-0209 · Fax (586) 778-0202
Phone(586) 778-0209
Fax(586) 778-0202
Organization SubpartNo
Authorized OfficialYong Soo SoPresident · (586) 778-0209
Enumeration DateDecember 21, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1356405294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · YS037124
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

22001 KELLY RD, Eastpointe, MI 48021
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Other Identifiers 3

Medicaid4641238MI
Medicare UPINB46014MI
Medicare PIN0N89590MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YONG SOO SO M.D.
General Practice
22001 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 778-0209
HIJOO KIM MD PLLC
Physical Medicine & Rehabilitation
22001 KELLY RD
EASTPOINTE, MI 48021
Macomb County (586) 777-1120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yong Soo So, M.D., P.C.'s NPI number?

The NPI number for Yong Soo So, M.D., P.C. is 1356405294. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Yong Soo So, M.D., P.C. located?

Yong Soo So, M.D., P.C. is located at 22001 Kelly Rd, Eastpointe, MI 48021. The listed phone number is (586) 778-0209.

What is Yong Soo So, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Yong Soo So, M.D., P.C. was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.