person
Jin Tae Kim, MD
Diagnostic Radiology Physician in Richmond, Virginia
NPI 1689791493

Jin Tae Kim is a Diagnostic Radiology Physician based in Rancho Cucamonga, VA and is specialized in Diagnostic Radiology. Jin Tae Kim practices in Richmond, VA and has the professional credentials of MD. The NPI Number for Jin Tae Kim is 1689791493 and holds a License No. A73178 (Virginia).

The current practice location address for Jin Tae Kim is 1250 E Marshall St, Richmond, VA and can be reached out via phone at 804-628-3580 and via fax at 804-628-3593.

Location: 1250 E Marshall St, Richmond, VA, 91730-4849
person
Provider Profile Details
NPI Number
1689791493
Provider Name
Jin Tae Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1250 E Marshall St, Richmond, VA, 91730-4849
Phone Number
804-628-3580
Fax Number
804-628-3593
Provider Enumeration Date
03/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
195889402 05 TX
8BC330 01 TX BCBSTX (BLUE CROSS BLUE SHIELD TEXAS)
195889403 01 TX CSHCN
institution
Provider Business Practice Location Address Details
Address
1250 E Marshall St
City
State
Zip
23298-5051
Phone Number
804-628-3580
Fax Number
804-628-3593
person
Provider Business Mailing Address Details
Address
1250 E Marshall St
City
State
Zip
23298-5051
Phone Number
804-628-3580
Fax Number
804-628-3593
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A73178 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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