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NPI Code Detail

MEDICARE: SANFORD J KIM MD

MEDICARE:   SANFORD J KIM  MD
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
1207R00000XInternal Medicine Physician35151TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00374481OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14127210OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
54141591OTHERTNBLUE CROSS
67694346OTHERAETNA

General Provider Information

NPI Number : 1891782454
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANFORD J KIM MD
Provider Business Mailing Address
First Line : 2300 PATTERSON ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1538
Country : US
Telephone Number : 615-342-6828
Fax Number : 615-342-7642
Provider Business Practice Location Address
First Line : 4321 CAROTHERS PKWY
Second Line : SOUND PHYSICIANS
City : FRANKLIN
State : TN
Zip : 37067-5909
Country : US
Telephone Number : 615-435-6690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 01/04/2022

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