Kim, Jin Tae
Kim, Jin Tae is an individual health care provider with primary practice located at 1250 E Marshall St Radiology, Richmond VA 23298-5051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, Jin Tae can be contacted via phone (804) 628-3580.Contact Information
Primary practice address
1250 E Marshall St Radiology
Richmond VA 23298-5051
Phone: (804) 628-3580
Fax: (804) 628-3593
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A73178 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M5291 | Texas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101245471 | Virginia |
Profile Details
NPI number | 1689791493 |
---|---|
LBN Legal business name | Kim, Jin Tae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2007 |
Last updated | Jul 22nd, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689791493 | NPPES |
Texas | MEDICAID | 195889402 | |
Texas | Other | 8BC330 | |
Texas | Other | 195889403 |
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