Stephen Joowhan Kim in Mishawaka - Diagnostic Radiology
Stephen Joowhan Kim - NPI 1992967293
Stephen Joowhan Kim is a Diagnostic Radiology in Mishawaka, Indiana. Stephen Joowhan Kim practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen Joowhan Kim is 1992967293. The last update date is 2017-03-13.
Stephen Joowhan Kim's current location address is 620 W Edison Rd, Mishawaka, Indiana. You can contact this provider via phone number 5742581100 and fax number 5742581101. The mailing address for Stephen Joowhan Kim is 620 W Edison Rd, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Joowhan Kim |
|---|---|
| Address | 620 W Edison Rd, Mishawaka, Indiana |
| Phone Number | 5742581100 |
| Fax Number | 5742581101 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992967293 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2017-03-13 |
Provider Mailing Address Detail
| Address | 620 W Edison Rd |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465452784 |
| Phone Number | 5742581100 |
| Fax Number | 5742581101 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 01066145A |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01066145A | IN | IN LICENSE | |
| 20139730 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen Joowhan Kim by the Centers for Medicare & Medicaid Services?
The Stephen Joowhan Kim has been issued the NPI (National Provider Identifier) 1992967293, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stephen Joowhan Kim is physically located?
The Stephen Joowhan Kim is situated at the following address: 620 W Edison Rd, Mishawaka, IN 465452784.
What is the Stephen Joowhan Kim's specialty and taxonomy code?
The Stephen Joowhan Kim's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Stephen Joowhan Kim receive the assignment of its 1992967293 from the Centers for Medicare & Medicaid Services?
The Stephen Joowhan Kim was issued its 1992967293 by the Centers for Medicare & Medicaid Services on 2008-06-27.
When was the information regarding Stephen Joowhan Kim most recently updated?
The details pertaining to the Stephen Joowhan Kim, including its address, specialty, and other relevant information, were last refreshed on 2017-03-13.