Myung-sup Kim is a Diagnostic Radiology Physician based in Cumberland, MD and is specialized in Diagnostic Radiology. Myung-sup Kim practices in Cumberland, MD and has the professional credentials of MD. The NPI Number for Myung-sup Kim is 1306849492 and holds a License No. D26261 (Maryland).
The current practice location address for Myung-sup Kim is 952 Seton Dr, Cumberland, MD and can be reached out via phone at 301-777-3522 and via fax at 301-777-1902. You can also correspond with Myung-sup Kim through the mailing address at PO BOX 808, CUMBERLAND, MD - 21501-0808 (mailing address contact number: 301-724-1646).
Location: 952 Seton Dr, Cumberland, MD, 21501-0808
Provider Profile Details
NPI Number
1306849492
Provider Name
Myung-sup Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
952 Seton Dr, Cumberland, MD, 21501-0808
Phone Number
301-777-3522
Fax Number
301-777-1902
Provider Enumeration Date
05/23/2005
Last Update Date
10/20/2021
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001708869 | 01 | WV | MT ST BLUE SHIELD |
| S3660001 | 01 | MD | GHMSI |
| 0010496230 | 05 | PA | |
| 2001896000 | 05 | WV | |
| 526991100 | 05 | MD | |
| J2490003 | 01 | MD | GHMSI |
| 0117502000 | 05 | WV | |
| J2480003 | 01 | MD | GHMSI |
Provider Business Practice Location Address Details
Address
952 Seton Dr
City
State
Zip
21502-1950
Phone Number
301-777-3522
Fax Number
301-777-1902
Provider Business Mailing Address Details
Address
Po Box 808
City
State
Zip
21501-0808
Phone Number
301-724-1646
Fax Number
301-724-7429
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D26261 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
D26261 (Maryland)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Neuroimaging
Taxonomy
License No.
D26261 (Maryland)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
D26261 (Maryland)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
D26261 (Maryland)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
D26261 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
D26261 (Maryland)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
D26261 (Maryland)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.