Provider Demographics
NPI:1013974245
Name:KIM, CHEE H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHEE
Middle Name:H
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6255 SHERIDAN DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4836
Mailing Address - Country:US
Mailing Address - Phone:716-857-8666
Mailing Address - Fax:716-857-8944
Practice Address - Street 1:6333 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5800
Practice Address - Country:US
Practice Address - Phone:716-630-1484
Practice Address - Fax:716-630-1413
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY180360-1207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01592869Medicaid
NY161000580OtherUNITED HEALTHCARE
NY00040387602OtherUNIVERA
NY000524475008OtherHEALTH NOW
NY0021748OtherGHI
NY2190409OtherIHA
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherNOVA
NY161000580OtherEMPIRE
NY161000580OtherAETNA
NY161000580OtherUNITED HEALTHCARE
NYF32465Medicare UPIN