Kyoung Soo Bae in Clinton Township - Diagnostic Radiology
Kyoung Soo Bae - NPI 1033114848
Kyoung Soo Bae is a Diagnostic Radiology in Clinton Township, Michigan. Kyoung Soo Bae practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kyoung Soo Bae is 1033114848. The last update date is 2008-04-20.
Kyoung Soo Bae's current location address is 36175 Harper Ave, Clinton Township, Michigan. You can contact this provider via phone number 5867413772 and fax number 5867414604. The mailing address for Kyoung Soo Bae is 36175 Harper Ave, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyoung Soo Bae |
|---|---|
| Address | 36175 Harper Ave, Clinton Township, Michigan |
| Phone Number | 5867413772 |
| Fax Number | 5867414604 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033114848 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 36175 Harper Ave |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 4803532740 |
| Phone Number | 5867413772 |
| Fax Number | 5867414604 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 4301031350 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1006439 | MI | MCLAREN HEALTH | |
| 3558987 | MI | -- | |
| 0H26188 | MI | BCBS PROVIDER NUMBER | |
| 0Q26008 | MI | BCBS PROVIDER NUMBER | |
| 110922 | MI | GREAT LAKES HEALTH |
Post Comment/ Review Below
What is the Kyoung Soo Bae's 1033114848?
The Kyoung Soo Bae's NPI (National Provider Identifier) Number is 1033114848. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kyoung Soo Bae?
The Kyoung Soo Bae is situated at 36175 Harper Ave, in the city of Clinton Township, state of MI, with the zip code 4803532740.
What is Kyoung Soo Bae's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kyoung Soo Bae's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033114848 to Kyoung Soo Bae?
The Centers for Medicare & Medicaid Services assigned the 1033114848 to Kyoung Soo Bae on 2005-06-17.
As of what date were the details related to Kyoung Soo Bae most recently updated or revised?
The information pertaining to Kyoung Soo Bae, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.
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