Jae Ho Kim is a Radiation Oncology in Detroit, Michigan. Jae Ho Kim practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Jae Ho Kim is 1902966310. The last update date is 2007-07-08.
Jae Ho Kim's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162600. The mailing address for Jae Ho Kim is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Ho Kim |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139162600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902966310 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139162600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 4301055250 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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What is the unique 10-digit identifier code issued to Jae Ho Kim by the Centers for Medicare & Medicaid Services?
The Jae Ho Kim has been assigned the NPI (National Provider Identifier) 1902966310 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jae Ho Kim is located?
The Jae Ho Kim is situated at the following address: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is Jae Ho Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jae Ho Kim is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.
When was the Jae Ho Kim's 1902966310 issued?
The Jae Ho Kim's 1902966310 was issued on 2006-12-08.
As of what date were the Jae Ho Kim's details last updated?
The information pertaining to the Jae Ho Kim, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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