Provider Demographics
NPI:1700875341
Name:SIM, HYUN S (MD)
Entity type:Individual
Prefix:
First Name:HYUN
Middle Name:S
Last Name:SIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:121 GENERAL HOSPITAL, BOX 556
Mailing Address - Street 2:
Mailing Address - City:APO, AP
Mailing Address - State:CA
Mailing Address - Zip Code:96205-0017
Mailing Address - Country:US
Mailing Address - Phone:011-822-7916
Mailing Address - Fax:011-822-7917
Practice Address - Street 1:121 GENERAL HOSPITAL, BOX 556
Practice Address - Street 2:
Practice Address - City:SEOUL
Practice Address - State:SOUTH KOREA
Practice Address - Zip Code:140
Practice Address - Country:KR
Practice Address - Phone:0118227-916-6027
Practice Address - Fax:0118227-917-8110
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 025084E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology