Kim, Choon-Man Joseph

Kim, Choon-Man Joseph is an individual health care provider with primary practice located at 1500 East Woodrow Wilson Drive Radiology Service, G.V. Montgomery Va Medical Center, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Kim, Choon-Man Joseph can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 East Woodrow Wilson Drive Radiology Service, G.V. Montgomery Va Medical Center Jackson MS 39216
Fax: (601) 364-1589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 37542 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X NO A-30560 California

Profile Details

NPI number 1467607416
LBN Legal business name Kim, Choon-Man Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2008
Last updated Nov 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467607416 NPPES
Michigan MEDICAID 2943329

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