Kim, Jae Koul

Kim, Jae Koul is an individual health care provider with primary practice located at 4729 E Sunrise Dr # 315 , Tucson AZ 85718-4534. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Jae Koul can be contacted via phone (520) 429-2023.

Contact Information

Primary practice address
4729 E Sunrise Dr # 315 Tucson AZ 85718-4534
Phone: (520) 429-2023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32890 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 32890 Arizona
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 32890 Arizona

Profile Details

NPI number 1124099213
LBN Legal business name Kim, Jae Koul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Nov 9th, 2016 - about 8 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 1124099213 NPPES
Arizona Other 1124099213 PHYSICIAN INDIVIDUAL NPI
Arizona Other CS7943 PHYSICIAN INDIVIDUAL NPI
Arizona Other ZWCBBM PHYSICIAN INDIVIDUAL NPI
Arizona Other 005472 PHYSICIAN INDIVIDUAL NPI
Arizona Other 1841261989 PHYSICIAN INDIVIDUAL NPI
Arizona MEDICAID 861725 PHYSICIAN INDIVIDUAL NPI
Arizona Other P00109556 PHYSICIAN INDIVIDUAL NPI

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