Surgery
ENDOVASCULAR
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972221182 · enumerated 2022-08-15 · record updated 2022-09-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: KIUP KIM MD, Chief medical officer · (480) 584-2369
Other names: ENDOVASCULAR
Addresses and phones
- Practice location 2240 COLLEGE DR, GALLUP, NM, 87301-7003 (505) 297-1052 Fax (505) 297-1227 Google Maps Apple Maps OpenStreetMap
- Mailing address 202 E EARLL DR STE 360, PHOENIX, AZ, 85012-2677 (480) 788-5621 Fax (480) 779-1277 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Bariatric Medicine 207QB0002X
- Podiatrist, Foot & Ankle Surgery 213ES0103X
- Surgery 208600000X · Primary
In this directory
Locations and evidence
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Practice location
GALLUP, NM, 873017003
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.