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NPI Code Detail

MEDICARE: DR. RICHARD KIM M.D.

MEDICARE:  DR. RICHARD  KIM  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianL6983TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00210655OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110018746OTHERTXAMERIGROUP
38R0743OTHERTXBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356434765
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD KIM M.D.
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR STE 2.300
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W 27TH ST
Second Line : SUITE 315
City : HOUSTON
State : TX
Zip : 77008-1440
Country : US
Telephone Number : 713-864-0533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 04/10/2026

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Directions to “ DR. RICHARD KIM M.D.” Practice Location

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