Kim, David Daewhan

Kim, David Daewhan is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kim, David Daewhan can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301066691 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 4301066691 Michigan

Profile Details

NPI number 1609940113
LBN Legal business name Kim, David Daewhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated May 31st, 2018 - about 6 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 1609940113 NPPES
Other 250Q260840 BLUE CROSS-BLUE CROSS
Other DK066691 BLUE CROSS-BLUE CROSS
Other DK066691 BLUE CROSS-BLUE CROSS
MEDICAID 447344610 BLUE CROSS-BLUE CROSS

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