DOLLY KIM (NPI# 1548767593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548767593 |
| Entity Type | Individual |
| Full Name | DOLLY KIM |
| Credential | MD |
| Practice Address |
Dept of Internal Medicine Hsc Level 16, 020 Stony Brook NY 11794-0001 |
| Mailing Address |
Department of Internal Medicine Health Science Center T16, Room 020 Stony Brook NY 11790-8160 |
| Practice Telephone | 5165106600 |
| Mailing Telephone | 6314447411 |
| Mailing Fax Number | 6314442493 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023212487 | Dolly Bahl Kim | Internal Medicine | 238 Fair Oaks Ave, Apt J, South Pasadena, CA 91030-1835 | 2007-06-12 |
| Street Address |
DEPT OF INTERNAL MEDICINE HSC LEVEL 16, 020 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563081 | Stephen Quiery | Student in an Organized Health Care Education/Training Program | 24 Old Wood Rd, Stony Brook, NY 11790-1028 | 2020-09-19 |
| 1073133443 | Katherine Anne De Jesus | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road Level 1, Stony Brook, NY 11794-7007 | 2020-04-25 |
| 1174142459 | Valerie Elyse Spano | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, School of Dental Medic, 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2020-04-16 |
| 1598384190 | Bryce Charles Schroeder | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital Hsc Level 4, Room 176, Stony Brook, NY 11794-0001 | 2020-04-13 |
| 1689293722 | Pallavi Tatapudy | Student in an Organized Health Care Education/Training Program | Suny-stony Brook Health Science Ctr/t-10 020, Stony Brook, NY 11794-8101 | 2020-04-09 |
| 1821627597 | Justice Uzoma Achonu | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine Hsc T-18 - 089, Stony Brook, NY 11794-8181 | 2020-04-05 |
| 1588293682 | Jaymie Eureko Oentoro | Student in an Organized Health Care Education/Training Program | 101 Nicolis Road, Stony Brook University Hospital, Department of Patholog, Stony Brook, NY 11794-7025 | 2020-04-02 |
| 1366071482 | Shantel Apeseche | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road Hsc Level 11 Room 040, Stony Brook, NY 11794-0001 | 2020-04-02 |
| 1811526973 | Prerna Khetan | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Nichols Road, Department of Pathology, Level 2- 749, Stony Brook, NY 11794-7025 | 2020-04-02 |
| 1962030056 | Eddy B Sun | Student in an Organized Health Care Education/Training Program | Dept of Internal Medicine Hsc16-020, Stony Brook, NY 11794-0001 | 2020-04-01 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on DOLLY KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.