Provider Demographics
NPI:1043313992
Name:KIM, STEVEN SUKHO (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SUKHO
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 W EL CAMINO REAL STE 230
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1969
Mailing Address - Country:US
Mailing Address - Phone:408-924-6148
Mailing Address - Fax:669-677-9373
Practice Address - Street 1:333 W EL CAMINO REAL STE 230
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1969
Practice Address - Country:US
Practice Address - Phone:949-694-5700
Practice Address - Fax:669-677-9373
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69347207QA0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1087812917OtherAMERICAN BOARD OF FAMILY MEDICINE
CAG69347OtherMEDICAL BOARD OF CALIFORNIA