Provider Demographics
NPI:1407896640
Name:KIM, PAUL HANJOON (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HANJOON
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:SUITE #1806
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3116
Mailing Address - Country:US
Mailing Address - Phone:808-534-7758
Mailing Address - Fax:808-534-7760
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:SUITE #1806
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3116
Practice Address - Country:US
Practice Address - Phone:808-534-7758
Practice Address - Fax:808-534-7760
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI13639207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000257857OtherHMSA
HI535442OtherHEALTH MANAGEMENT NETWORK
HI58026800OtherALOHA CARE
HI58026802Medicaid
HIA58026800OtherALOHA CARE ADVANTAGE