Changhee Kim MD Phd Plc
Changhee Kim MD Phd Plc is a healthcare organization registered as Family Medicine Physician in Troy, MI, holding Type 2 (organization) NPI 1790963171 since 2008. The authorized official on file is Changhee Kim, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790963171 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Changhee Kim MD Phd Plc |
| Practice address | 38815 DEQUINDRE RD, SUITE 103, Troy, MI, 48083 |
| Phone | 2487407771 |
| Enumeration date | 2008-02-07 |
| Last updated in NPPES | 2008-02-28 |
Authorized official
| Name | Changhee Kim |
|---|---|
| Title | Owner |
| Phone | 2487407771 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 4301059643 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4562401 | Medicaid | MI | — |
Copy-ready billing details
Provider: Changhee Kim MD Phd Plc NPI: 1790963171 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 38815 DEQUINDRE RD, SUITE 103, Troy, MI, 48083
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518958735 | Steven Dean | Individual | Obstetrics & Gynecology Physician | Troy, MI |
| 1215918479 | Changhee Kim | Individual | Family Medicine Physician | Troy, MI |
| 1922089531 | Fredericka Jackson | Individual | Addiction (Substance Use Disorder) Psychologist | Troy, MI |
| 1154482248 | Sarala Ravikant MD PC | Organization | Surgery Physician | Troy, MI |
| 1649321688 | Robert G Saieg MD PC | Organization | Obstetrics & Gynecology Physician | Troy, MI |
| 1780928614 | True Gynecology Pllc | Organization | Obstetrics & Gynecology Physician | Troy, MI |
Verify this record
Cross-check NPI 1790963171 against the authoritative CMS record: view Changhee Kim MD Phd Plc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Changhee Kim MD Phd Plc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-28.