Provider Demographics
NPI:1427589845
Name:KIM, WOIHWAN (MD)
Entity type:Individual
Prefix:
First Name:WOIHWAN
Middle Name:
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 1:23920 KATY FWY STE 580
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0883
Mailing Address - Country:US
Mailing Address - Phone:713-486-4730
Mailing Address - Fax:281-395-5054
Practice Address - Street 1:23920 KATY FWY STE 580
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0883
Practice Address - Country:US
Practice Address - Phone:713-486-4730
Practice Address - Fax:281-395-5054
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV0002208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery