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CHANG SOO KIM MD
NPI 1699797449
Internal Medicine in Eastpointe, MI

Active since July 24, 2006
16420 EAST 9 MILE RD, EASTPOINTE, MI 48021(586) 779-0000(586) 779-9866 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chang Soo Kim Md NPPES

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

CHANG SOO KIM MD (NPI 1699797449) is an individual internal medicine provider in Eastpointe, Michigan, licensed in Michigan (CK031478) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1699797449
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHANG SOO KIMCredential: MD
Location Address16420 EAST 9 MILE RDEastpointe, MI 48021-2442
Mailing Address16420 East 9 Mile RdEastpointe, MI 48021-2442 · (586) 779-0000 · Fax (586) 779-9866
Phone(586) 779-0000
Fax(586) 779-9866
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699797449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · CK031478
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16420 EAST 9 MILE RD, Eastpointe, MI 48021
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Other Identifiers 3

Medicare ID-Type Unspecified05066699111
Medicaid1093837MI
Medicare UPINB46944

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 Chang Soo Kim's NPI number?

The NPI number for Chang Soo Kim is 1699797449. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Chang Soo Kim located?

Chang Soo Kim practices at 16420 East 9 Mile Rd, Eastpointe, MI 48021. The listed phone number is (586) 779-0000.

What is Chang Soo Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Chang Soo Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.