person
Jae Koul Kim, MD
Body Imaging Physician in Tucson, Arizona
NPI 1124099213

Jae Koul Kim is a Body Imaging Physician based in Tucson, AZ and is specialized in Body Imaging. Jae Koul Kim practices in Tucson, AZ and has the professional credentials of MD. The NPI Number for Jae Koul Kim is 1124099213 and holds a License No. 32890 (Arizona).

The current practice location address for Jae Koul Kim is 4729 E Sunrise Dr # 315, Tucson, AZ and can be reached out via phone at 520-429-2023.

Location: 4729 E Sunrise Dr # 315, Tucson, AZ, 85718-4534
person
Provider Profile Details
NPI Number
1124099213
Provider Name
Jae Koul Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4729 E Sunrise Dr # 315, Tucson, AZ, 85718-4534
Phone Number
520-429-2023
Fax Number
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124099213 01 AZ PHYSICIAN INDIVIDUAL NPI
CS7943 01 AZ GROUP MEDICARE RAILROAD ID & PTAN
ZWCBBM 01 AZ GROUP MEDICARE ID
005472 01 AZ GROUP MEDICAID ID
1841261989 01 AZ GROUP NPI
861725 05 AZ
P00109556 01 AZ MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4729 E Sunrise Dr # 315
City
State
Zip
85718-4534
Phone Number
520-429-2023
Fax Number
person
Provider Business Mailing Address Details
Address
4729 E Sunrise Dr # 315
City
State
Zip
85718-4534
Phone Number
520-429-2023
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
32890 (Arizona)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
32890 (Arizona)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
32890 (Arizona)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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