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DR. JIN SOO SONG M.D.
NPI 1770268963
Student in an Organized Health Care Education/Training Program in Gahanna, OH

Active since June 16, 2023
725BUCKLES CT N, #210, GAHANNA, OH 43230(614) 245-4263 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2023, Jun 16, 2023 (2 updates tracked since 2023).

About Dr. Jin Soo Song M.d. NPPES

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

DR. JIN SOO SONG M.D. (NPI 1770268963) is an individual student in an organized health care education/training program in Gahanna, Ohio and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1770268963
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JIN SOO SONGCredential: M.D.
Location Address725BUCKLES CT N, #210Gahanna, OH 43230
Mailing Address725buckles Ct N, #210Gahanna, OH 43230 · (614) 245-4263
Phone(614) 245-4263
Sole ProprietorNo
Enumeration DateJune 16, 2023
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1770268963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

725BUCKLES CT N, Gahanna, OH 43230
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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 Jin Soo Song's NPI number?

The NPI number for Jin Soo Song is 1770268963. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Jin Soo Song located?

Jin Soo Song practices at 725buckles Ct N #210, Gahanna, OH 43230. The listed phone number is (614) 245-4263.

What is Jin Soo Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jin Soo Song was last updated on December 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.