Miriam Grace Kim
D.O. | Pediatric Hematology-Oncology | Female
Miriam Grace Kim, D.O. is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Miriam Grace Kim is
705 Riley Hospital Dr, Roc 4340, Indianapolis, Indiana - 46202-5109. She can be contacted on phone at
317-944-2143 and fax number 317-944-3107.
Miriam Grace Kim is a sole proprietor of her business.
NPI number (Unique professional ID) for Miriam Grace Kim is
1891052171 which was assigned by NPPES on 11 Apr, 2012 and it was last updated on 08 Apr, 2020.
Miriam Grace Kim license number is
02005955A for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Indiana.
Miriam Grace Kim is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Miriam Grace Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Miriam Grace Kim |
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| Credential : | D.O. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Miriam Grace Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 705 Riley Hospital Dr, Roc 4340
Indianapolis, IN, 46202-5109
United States |
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| Phone Number : | 317-944-2143 |
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| Fax Number : | 317-944-3107 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891052171 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Apr, 2012 |
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| Last Updated On : | 08 Apr, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miriam Grace Kim are as mentioned. Primary taxonomy code for Miriam Grace Kim, D.O. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 02005955A | IN |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 63854-21 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Miriam Grace Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 300036343 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2525 CHICAGO AVE,
MINNEAPOLIS, MN, 55404-4518
United States | MINNEAPOLIS, MN | 312-752-8176 |
420 DELAWARE ST SE, MCRB, SUITE 660 MMC 366
MINNEAPOLIS, MN, 55455-0341
United States | MINNEAPOLIS, MN | 612-624-3113 |
600 HIGHLAND AVE,
MADISON, WI, 53792-0001
United States | MADISON, WI | 608-263-8556 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1026
Indianapolis, IN, 46206-1026
United States |
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| Phone Number : | 317-777-6435 |
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| Fax Number : | 317-777-6644 |
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Business Location:
Patients can refer following map for directions to
Miriam Grace Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.